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Organization

SNOW PEAK YOUTH CAMP, INC.

Active
Other names
Santiam Crossing
Organization subpart
No

Provider details

NPI number
Authorized official
JENIVEVE ROLLINS LCSW (CLINICAL DIRECTOR, BOARD CHAIR)
(503) 394-4294
Entity
Organization

Contact information

Practice address
44644 CAMP MORRISON DR, BOX 482, SCIO, OR 97374-9336
(503) 394-4294
(503) 394-7096
Mailing address
PO BOX 482, SCIO, OR 97374-0482
(503) 394-4294
(503) 394-7096

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0231
OR

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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