Organization
LIVE. GROW. SHARE. LLC
Active
Parent organization
LIVE. GROW. SHARE. LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIVE. GROW. SHARE. LLC
Authorized official
KENDRA STIDHEM PSS (DIRECTOR OF OUTPATIENT SERVICES)
(541) 505-9190
Entity
Organization
Contact information
Practice address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Mailing address
1966 GARDEN AVE, EUGENE, OR 97403-1933
(541) 505-9190
(541) 505-9264
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
12/26/2024
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