Organization
FOUR RIVERS RECOVERY
Active
Other names
Four Rivers Recovery LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY JO LLOYD HATFIELD (PARTNER/ OPERATIONS AND OFFICE MGR)
(154) 123-9843
Entity
Organization
Contact information
Practice address
1019 SW 3RD AVE, ONTARIO, OR 97914-2125
(154) 123-9843
Mailing address
1019 SW 3RD AVE, ONTARIO, OR 97914-2125
(541) 239-8436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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