Organization
SRIPONYA COLLECTIVE
Active
Other names
Parousia
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER JOYCE EALES CHW, PSS, JD (EXECUTIVE DIRECTOR)
(541) 408-0968
Entity
Organization
Contact information
Practice address
1080 SE BLUEGRASS LN, MADRAS, OR 97741-1642
(541) 408-0968
Mailing address
PO BOX 412, MADRAS, OR 97741-0052
(541) 408-0968
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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