Organization
THE CHILD CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK CHAMBERLAIN MA (OUTPATIENT PROGRAM DIRECTOR)
(541) 726-1465
Entity
Organization
Contact information
Practice address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Mailing address
3995 MARCOLA RD, SPRINGFIELD, OR 97477-7948
(541) 726-1465
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
9670273
OR
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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