Bend Embodied
Clinic/Center, Mental Health (Including Community Mental Health Center) in Bend, OR. Organization (NPI-2).
NPI number1316631138
StatusActive
Last updated in NPPESJun 5, 2023
Details
- NPI
- 1316631138
- Entity type
- Organization (NPI-2)
- Legal business name
- Bend Embodied
- Organization subpart
- No
- Enumeration date
- Jun 5, 2023
- Certification date
- Jun 5, 2023
- Last updated
- Jun 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
825 Sw Theater DrBend, OR 97702-3509
Phone 720-442-4114
Mailing address
825 Sw Theater DrBend, OR 97702-3509
Phone 720-442-4114
Authorized official
Autumn Stacey Marler
Owner
7204424114
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All 35 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Bend · All 6,654 providers in Bend
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