Organization
LIBERTY MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOREN S MELTZER JD,LPC,CADC (ADMINISTRATIVE DIRECTOR)
(503) 302-4126
Entity
Organization
Contact information
Practice address
145 WILSON ST S, SALEM, OR 97302-4232
(503) 581-0463
(503) 581-1669
Mailing address
1247 COMMERCIAL ST SE, SALEM, OR 97302-4203
(503) 581-0463
(503) 581-1669
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L3352-C1512
OR
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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