Organization
SUNLIGHT FAMILY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN GATES LCSW (OWNER)
(541) 412-9141
Entity
Organization
Contact information
Practice address
604 SPRUCE STREET, BROOKINGS, OR 97415
(541) 412-9141
Mailing address
PO BOX 7264, BROOKINGS, OR 97415-0336
(541) 412-9141
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
L4678
OR
Other
Enumeration date
05/01/2012
Last updated
05/01/2012
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