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Organization

PIVOT BEHAVIORAL HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BREA DI DATO PMHNP (OWNER)
(541) 293-1325
Entity
Organization

Contact information

Practice address
1001 SW DISK DR STE 250, BEND, OR 97702-3754
(541) 293-1325
(541) 229-1314
Mailing address
1001 SW DISK DR STE 250, BEND, OR 97702-3754
(541) 293-1325
(541) 229-1314

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/17/2021
Last updated
09/23/2024
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