Organization
HERON COUNSELING SERVICES CORPORATION
Active
Other names
Better Choices Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DELL MILTON MILLER CACDII (PROGRAM DIRECTOR)
(503) 474-2024
Entity
Organization
Contact information
Practice address
105 NE 8TH ST, MCMINNVILLE, OR 97128-4909
(503) 474-2024
(503) 474-4454
Mailing address
105 NE 8TH ST, P.O. BOX 1579, MCMINNVILLE, OR 97128-4909
(503) 474-2024
(503) 474-4454
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165726
—
OR
01
—
MB000039
MMIS ELECTRONIC BILLING
OR
Enumeration date
12/29/2006
Last updated
12/11/2013
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