Organization
THE CLINIC FOR EMOTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PETTINGILL (CEO)
(208) 681-6097
Entity
Organization
Contact information
Practice address
23065 BACCHUS LN, BEND, OR 97702-9298
(208) 681-6097
Mailing address
23065 BACCHUS LN, BEND, OR 97702-9298
(208) 681-6097
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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