Organization
PROGRAM DESIGN CONCEPTS, INC
Active
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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