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Organization

LINCOLN COUNTY CHILDREN'S ADVOCACY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. THERESA WISNER (EXECUTIVE DIRECTOR)
(541) 574-0841
Entity
Organization

Contact information

Practice address
122 NE 47TH ST, NEWPORT, OR 97365-1429
(541) 574-0841
(541) 574-0821
Mailing address
PO BOX 707, NEWPORT, OR 97365-0050
(541) 574-0841
(541) 574-0821

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
1174640-8
OR

Other

Enumeration date
06/05/2008
Last updated
06/05/2008
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