Organization
CENTER FOR FAMILY DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI T RIOS (EXECUTIVE DIRECTOR)
(541) 342-8437
Entity
Organization
Contact information
Practice address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037098
—
OR
Enumeration date
05/09/2008
Last updated
10/12/2023
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