Organization
HERON COUNSELING SERVICES CORPORATION
Active
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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