Organization
HABILITATION COALITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MONAHAN MC (ADMINISTRATOR)
(541) 647-1269
Entity
Organization
Contact information
Practice address
3316 CRUISE LOOP, BEND, OR 97701-8276
(541) 647-1269
(541) 647-1270
Mailing address
3316 CRUISE LOOP, BEND, OR 97701-8276
(541) 647-1269
(541) 647-1270
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
04/23/2008
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