Organization
TRILLIUM FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWAYNE H SNOOK (CATS 2)
(541) 758-5944
Entity
Organization
Contact information
Practice address
1220 COLLEGE ST, PHILOMATH, OR 97370-9421
(541) 409-6812
Mailing address
1220 COLLEGE ST, PHILOMATH, OR 97370-9421
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
05/28/2007
Last updated
08/22/2020
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