Organization
HOMESTEAD YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE D. CREGER (CLERICAL SPECIALIST)
(541) 276-5433
Entity
Organization
Contact information
Practice address
816 SE 15TH ST., PENDLETON, OR 97801
(541) 276-5433
(541) 276-8605
Mailing address
PO BOX 1325, PENDLETON, OR 97801-0260
(541) 276-5433
(541) 276-8605
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
12718785
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240007
—
OR
Enumeration date
06/01/2007
Last updated
12/13/2007
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