Sean's Place, Incorporated

NPI #1407121106 in Harrisburg, Oregon

Provider Information

NPI Number
1407121106
Entity Type
Organization
Organization Name
Sean's Place, Incorporated
Primary Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Mar 13, 2012
Last Updated
Mar 13, 2012

Practice Location

Address
930 HAMMER ST
State
Oregon
ZIP Code
97446-9590
Phone
(541) 995-5188

Authorized Official

Name
MRS. ANDREA LYNN WILLIAMS, MA
Title
EXECUTIVE PROGRAM DIRECTOR
Phone
(541) 995-5188

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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