Organization
HAWKS MOUNTAIN ENTERPRISES LLC
Active
Other names
Mill Street Psychiatric
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HARRY LUCK (OWNER)
(541) 492-1340
Entity
Organization
Contact information
Practice address
1404 SE MILL ST, ROSEBURG, OR 97470-4008
(541) 492-1340
(541) 492-1339
Mailing address
1404 SE MILL ST, ROSEBURG, OR 97470-4008
(541) 492-1340
(541) 492-1339
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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