Oesd 114 Prevention & Treatment Center
NPI #1982811246 in Longview, Washington
Provider Information
- NPI Number
- 1982811246
- Entity Type
- Organization
- Organization Name
- Oesd 114 Prevention & Treatment Center
- Primary Specialty
- Local Education Agency (LEA)
- Enumeration Date
- May 17, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2903 NICHOLS BLVD
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-2704
- Phone
- (360) 405-5843
Authorized Official
- Name
- DR. WALT BIGBY
- Title
- SUPERINTENDENT
- Phone
- (360) 405-5843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
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