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Organization

EASTERN OREGON ACADEMY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CRAIG J. LAFOLLETTE (PRESIDENT)
(541) 573-7303
Entity
Organization

Contact information

Practice address
705 HIGHWAY 20 S, HINES, OR 97738-2522
(541) 573-7303
(541) 573-5938
Mailing address
PO BOX 138, BURNS, OR 97720-0138
(541) 573-7303
(541) 573-5938

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
0176
OR

Other

Enumeration date
11/11/2013
Last updated
11/11/2013
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