Organization
CHRISTIAN COMMUNITY PLACEMENT CENTER
Active
Other names
Connections365
Organization subpart
No
Provider details
NPI number
Authorized official
DEBOHRA ANN LUTE (EXECUTIVE DIRECTOR)
(503) 588-5647
Entity
Organization
Contact information
Practice address
4890 32ND AVE SE, SALEM, OR 97317
(503) 588-5647
(503) 779-1992
Mailing address
4890 32ND AVE SE, SALEM, OR 97317
(503) 588-5647
(503) 588-0509
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
253J00000X
Foster Care Agency
0056
OR
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240040
—
OR
Enumeration date
11/21/2006
Last updated
05/11/2018
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