Organization
BENTON COUNTY
Active
Parent organization
BENTON COUNTY
Other names
Juvenile Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
BENTON COUNTY
Authorized official
LACEY MOLLEL (HEALTH CENTER DIRECTOR)
(541) 766-6835
Entity
Organization
Contact information
Practice address
4077 SW RESEARCH WAY, CORVALLIS, OR 97333-1065
(541) 766-6810
Mailing address
PO BOX 579, CORVALLIS, OR 97339-0579
(541) 766-6835
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/12/2014
Last updated
05/01/2025
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