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Organization

HAAG HOME FOR BOYS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY HUSSKE (EXECUTIVE DIRECTOR)
(541) 998-2163
Entity
Organization

Contact information

Practice address
881 W 6TH AVE, JUNCTION CITY, OR 97448-1284
(541) 998-2163
(541) 998-6379
Mailing address
881 W 6TH AVE, JUNCTION CITY, OR 97448-1284
(541) 998-2163
(541) 998-6379

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/22/2013
Last updated
08/27/2013
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