Organization
CHRISTIAN COMMUNITY PLACEMENT CENTER
Active
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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