Organization
LOOKING GLASS INTENSIVE TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA ABE VANDERBUSH (RESIDENTIAL COUNSELOR)
(541) 335-9125
Entity
Organization
Contact information
Practice address
4120 FIELD STONE CT, EUGENE, OR 97404-4082
(541) 335-9125
Mailing address
4120 FIELD STONE CT, EUGENE, OR 97404-4082
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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