Organization
BOYS & GIRLS CLUB OF ALBANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE LYNN SMITH (HEALTH SERVICE COORDINATOR)
(541) 926-6666
Entity
Organization
Contact information
Practice address
1215 HILL ST SE, ALBANY, OR 97322-3238
(541) 926-6666
(541) 926-0531
Mailing address
1215 HILL ST SE, ALBANY, OR 97322-3238
(541) 926-6666
(541) 926-0531
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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