Olalla Center
Counselor, Mental Health in Toledo, OR. Organization (NPI-2).
NPI number1013952829
StatusActive
Last updated in NPPESApr 24, 2020
Details
- NPI
- 1013952829
- Entity type
- Organization (NPI-2)
- Legal business name
- Olalla Center
- Organization subpart
- No
- Enumeration date
- Jun 17, 2006
- Certification date
- Apr 24, 2020
- Last updated
- Apr 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | 106 | OR |
Other names
- Lincoln County Child Day Treatment Center (Former Legal Business Name)
Practice location
321 Se 3rd StToledo, OR 97391-1613
Phone 541-336-2254 · Fax 541-336-1803
Mailing address
321 Se 3rd StToledo, OR 97391-1613
Phone 541-336-2254 · Fax 541-336-1803
Authorized official
Dakota Sierra McKnight-Todd
Office Manager
5413362254
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