Youth Villages
Community/Behavioral Health in Lake Oswego, OR. Organization (NPI-2).
NPI number1740729490
StatusActive
Last updated in NPPESFeb 14, 2017
Details
- NPI
- 1740729490
- Entity type
- Organization (NPI-2)
- Legal business name
- Youth Villages
- Organization subpart
- No
- Enumeration date
- Feb 14, 2017
- Last updated
- Feb 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
2507 Christie Dr.Lake Oswego, OR 97034
Phone 503-635-3416
Mailing address
Po Box 368Marylhurst, OR 97036-0368
Authorized official
Jordain Boland
Regional Supervisor
5036752266
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