Organization
NEHEMIAHS RANCH FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACOB RYAN MULLIN (EXECUTIVE DIRECTOR)
(503) 315-0772
Entity
Organization
Contact information
Practice address
7625 SUNNYSIDE RD SE, SALEM, OR 97306-9558
(503) 315-0772
Mailing address
7625 SUNNYSIDE RD SE, SALEM, OR 97306-9558
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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