Organization
EASTERN OREGON ALCOHOLISM FOUNDATION
Active
Organization
EASTERN OREGON ALCOHOLISM FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN PETER DUMONT CADCII, QMHP (EXECUTIVE DIRECTOR)
(541) 276-3518
Entity
Organization
Contact information
Practice address
216 SW HAILEY AVENUE, PENDLETON, OR 97801
(541) 276-3518
(541) 276-4189
Mailing address
216 S.W. HAILEY AVENUE, PENDLETON, OR 97801
(541) 276-3518
(541) 276-4189
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
OR
251S00000X
Community/Behavioral Health Agency
—
OR
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OR
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006405
—
OR
Enumeration date
02/19/2007
Last updated
05/04/2015
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