Organization
SARAH SORIC THERAPY LLC
Active
Other names
Dynamic Self Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL ANN MCCOLLUM (SUPERVISOR)
(541) 621-2698
Entity
Organization
Contact information
Practice address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 829-1199
(833) 770-4969
Mailing address
1010 11TH AVE SW, ALBANY, OR 97321-2019
(541) 791-7193
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500722423
—
OR
Enumeration date
01/30/2021
Last updated
01/05/2024
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