Organization
IMPACT BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN CLAUDE MATABARO (MANAGER)
(971) 601-8042
Entity
Organization
Contact information
Practice address
3000 MARKET ST NE, SALEM, OR 97301-1882
(971) 601-8042
Mailing address
3000 MARKET ST NE, SALEM, OR 97301-1882
(971) 601-8042
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/10/2025
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