Organization
YOUTH ERA
Active
Other names
LEAD
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TIA BARNES (CHIEF PROGRAM OFFICER)
(541) 255-6864
Entity
Organization
Contact information
Practice address
44 W BROADWAY STE 225, EUGENE, OR 97401-3071
(971) 334-9295
Mailing address
PO BOX 583, EUGENE, OR 97440-0583
(206) 295-9385
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
09/02/2020
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