Organization
TRANSPONDER
Active
Organization
TRANSPONDER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN LILLEY (PROGRAM DIRECTOR)
(541) 321-0872
Entity
Organization
Contact information
Practice address
440 MAXWELL RD, EUGENE, OR 97404
(541) 321-0872
(541) 632-8952
Mailing address
PO BOX 827, EUGENE, OR 97440
(541) 321-0872
(541) 632-8952
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
05/13/2025
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