Organization
PROGRAM DESIGN CONCEPTS, INC
Active
Other names
New Leaf Academy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVENEY JOY MARSHALL (ASSOCIATE DIRECTOR)
(541) 318-1676
Entity
Organization
Contact information
Practice address
22022 NELSON RD, BEND, OR 97701-9790
(541) 318-1676
(541) 318-1709
Mailing address
PO BOX 6454, BEND, OR 97708-6454
(541) 318-1676
(541) 318-1709
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
0224
OR
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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