Organization
TRILLIUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA LENNON SWEENEY (CATS1)
(541) 758-5944
Entity
Organization
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5944
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 758-5944
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/21/2008
Last updated
01/21/2008
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