Organization
NORTHWEST YOUTH DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CHARLES STREETER M.ED. (EXECUTIVE DIRECTOR)
(541) 647-9609
Entity
Organization
Contact information
Practice address
9 NW 15TH ST, BEND, OR 97701-3102
(541) 647-9609
Mailing address
9 NW 15TH ST, BEND, OR 97701-3102
(541) 647-9609
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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