Organization
MARION COUNTY HEALTH DEPARTMENT
Active
Parent organization
MARION COUNTY
Other names
Her Place Residential Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARION COUNTY
Authorized official
MAI CAO (BILLING SUPERVISOR)
(503) 361-2648
Entity
Organization
Contact information
Practice address
3529 FISHER RD NE, SALEM, OR 97305
(503) 362-1399
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 362-1399
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OR
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
OR
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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