Organization
MENTAL HEALTH ASSOCIATION OF BENTON COUNTY
Active
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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