Organization
CHRISTIAN COMMUNITY PLACEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTINE ADAILA DARBY (ADMINISTRATIVE ASSISSTANT)
(503) 588-5647
Entity
Organization
Contact information
Practice address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 588-5647
Mailing address
4890 32ND AVE SE, SALEM, OR 97317-9350
(503) 588-5647
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
172V00000X
OR
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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