Organization
LOOKING GLASS COMMUNITY SERVICES - PATHWAYS BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELA HALL (HUMAN RESOURCES)
(541) 686-2688
Entity
Organization
Contact information
Practice address
550 RIVER RD, EUGENE, OR 97404-3212
(541) 743-2611
(541) 868-0340
Mailing address
1790 W 11TH AVE, SUITE 200, EUGENE, OR 97402-3758
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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