Organization
IRON TRIBE NETWORK
Active
Parent organization
A DAILY REPRIEVE CENTER INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
A DAILY REPRIEVE CENTER INC.
Authorized official
MR. HAROLD REICHERT CUBBEDGE CCEO (AUTHORIZED AGENT)
(503) 754-3495
Entity
Organization
Contact information
Practice address
17763 SE 82ND DR STE D, GLADSTONE, OR 97027-1822
(503) 344-6710
Mailing address
17763 SE 82ND DR STE D, GLADSTONE, OR 97027-1822
(503) 344-6710
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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