Organization
LGS OPERATING COMPANY
Active
Other names
LIVE. SHARE. GROW. LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY TEETERS (CEO)
(541) 525-3139
Entity
Organization
Contact information
Practice address
315 COBURG RD STE C, EUGENE, OR 97401-6114
(541) 505-9190
Mailing address
87750 CHARLET DR, EUGENE, OR 97402-9151
(541) 525-3139
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/19/2022
Last updated
10/06/2023
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