Organization
FAMILY DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLENE STUTES (EXECUTIVE DIRECTOR)
(541) 673-4354
Entity
Organization
Contact information
Practice address
300 JERRYS DR, ROSEBURG, OR 97470-1132
(541) 673-4354
(541) 229-0623
Mailing address
300 JERRYS DR, ROSEBURG, OR 97470-1132
(541) 673-4354
(541) 229-0623
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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