South Lane Mental Health Services, INC
NPI #1245757772 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1245757772
- Entity Type
- Organization
- Organization Name
- South Lane Mental Health Services, INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Aug 25, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 1345 BIRCH AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1416
- Phone
- (541) 942-3939
Authorized Official
- Name
- MS. THERESE NADINE MASTIN, MA
- Title
- QUALITY MANAGEMENT DIRECTOR
- Phone
- (541) 767-4176
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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