Northwest Youth Discovery

NPI #1275085128 in Bend, Oregon

Provider Information

NPI Number: 1275085128
Entity Type: Organization
Organization Name: Northwest Youth Discovery
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Oct 26, 2016
Last Updated: Oct 26, 2016

Practice Location

Address: 61850 DOBBIN RD
City: Bend
State: Oregon
ZIP Code: 97702-9536
Phone: (541) 647-9609

Authorized Official

Name: MR. RICHARD CHARLES STREETER, M.S., M.ED.
Title: EXECUTIVE DIRECTOR
Phone: (541) 647-9609

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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