Organization
MENTAL HEALTH ASSOCIATION OF BENTON COUNTY
Active
Other names
Janus House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM A MCCLENAGHAN JR. (DIRECTOR)
(541) 753-9219
Entity
Organization
Contact information
Practice address
606 SW 5TH ST, CORVALLIS, OR 97333-4418
(541) 753-9219
(541) 753-5368
Mailing address
PO BOX 1054, CORVALLIS, OR 97339-1054
(541) 753-9219
(541) 753-5368
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
928
OR
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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