Organization
HIDE AWAY PROJECT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANEAN MICHAEL FRANCIS LCSW (OWNER)
(406) 407-8032
Entity
Organization
Contact information
Practice address
1877 WINCHESTER AVE, REEDSPORT, OR 97467-1148
(406) 407-8032
(214) 602-5295
Mailing address
PO BOX 132, REEDSPORT, OR 97467-0132
(406) 407-8032
(214) 602-5295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/07/2018
Last updated
09/30/2022
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