Organization
PATHFINDER CLUBHOUSE
Active
Organization
PATHFINDER CLUBHOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH HAZLEWOOD CHW (EXECUTIVE DIRECTOR)
(458) 217-3041
Entity
Organization
Contact information
Practice address
250 NW 1ST ST STE 110, CORVALLIS, OR 97330-4836
(458) 217-3041
(855) 962-2388
Mailing address
PO BOX 1414, CORVALLIS, OR 97339-1414
(423) 463-9622
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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