Organization
A BETTER REALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EMMETT PHD (OWNER)
(541) 269-8133
Entity
Organization
Contact information
Practice address
2690 N. 17TH SSTREET, COOS BAY, OR 97420
(541) 269-8133
Mailing address
69766 DEL VIEW LN, NORTH BEND, OR 97459-7781
(541) 217-8762
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
07/18/2019
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