Youth Villages

NPI #1326498171 in Redmond, Oregon

Provider Information

NPI Number
1326498171
Entity Type
Organization
Organization Name
Youth Villages
Primary Specialty
Case Management
Enumeration Date
Jun 13, 2016
Last Updated
Jun 13, 2016

Practice Location

Address
2659 SW 4TH ST
Address 2
SUITE 102
State
Oregon
ZIP Code
97756-6406
Phone
(541) 516-6349

Authorized Official

Name
STEPHANIE MCCOLLOUGH
Title
REGIONAL SUPERVISOR
Phone
(541) 516-6349

Specialties & Taxonomy Codes

Specialty
Case Management

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