Organization
STONEWALL BEHAVIORAL HEALTH & MENTAL WELLNESS
Active
Other names
Stonewall Behavioral Health and Mental Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN T SMITH LCSW (OWNER)
(765) 354-8410
Entity
Organization
Contact information
Practice address
826 SE 10TH ST, PENDLETON, OR 97801-3246
(541) 539-3214
Mailing address
826 SE 10TH ST, PENDLETON, OR 97801-3246
(765) 354-8410
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
07/09/2024
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