Organization
LITHIA SPRINGS
Active
Parent organization
COMMUNITY WORKS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY WORKS, INC.
Authorized official
CONNIE EIDSON (CFO)
(541) 779-2393
Entity
Organization
Contact information
Practice address
695 MISTLETOE RD, SUITE H, ASHLAND, OR 97520-9552
(541) 482-8906
(541) 779-3317
Mailing address
201 W MAIN ST STE 3D, MEDFORD, OR 97501-2744
(541) 779-2393
(541) 779-3317
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127014
—
OR
05
—
164979
—
OR
Enumeration date
11/21/2008
Last updated
05/02/2013
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