Organization
THE CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS RYAN SULLIVAN (MENTAL HEALTH COUNSELOR)
(541) 913-5615
Entity
Organization
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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