Organization
CENTER FOR FAMILY DEVELOPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI T RIOS MHA (EXECUTIVE DIRECTOR)
(541) 342-8437
Entity
Organization
Contact information
Practice address
261 E 12TH AVE, EUGENE, OR 97401-3208
(541) 342-8437
Mailing address
1258 HIGH ST, EUGENE, OR 97401-3238
(541) 342-8437
(541) 342-1639
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170157
—
OR
05
—
500834766
—
OR
Enumeration date
11/01/2005
Last updated
09/22/2025
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