Organization
ECLECTIC BEHAVIORAL HEALTH SOLUTIONS LLC
Active
Other names
Restoring Essential Connections
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN WILTROUT (EXECUTIVE ADMINISTRATOR)
(541) 622-2727
Entity
Organization
Contact information
Practice address
2075 KNOWLES RD, MEDFORD, OR 97501-9530
(541) 944-8246
Mailing address
PO BOX 1770, PHOENIX, OR 97535-1770
(541) 622-2727
(541) 512-2393
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
10/20/2023
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