Organization
LIFE DREAM NOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KRAUGER (PRESIDENT)
(503) 580-7721
Entity
Organization
Contact information
Practice address
235 GENTLE AVE E, MONMOUTH, OR 97361-1108
(503) 580-7721
Mailing address
235 GENTLE AVE E, MONMOUTH, OR 97361-1108
(503) 580-7721
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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