Trillium Family Service

NPI 1275734485 - Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X

NPI Details
NPI 1275734485
Enumeration Date 05/29/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DANIEL DANIEL
Position CATS
Phone (541) 758-5909
Fax
Practice Location
4455 NE HIGHWAY 20
CORVALLIS OR, 97330-9695, US
Phone (541) 758-5909
Fax
Business Location
1300 SW E AVE
APT #104
CORVALLIS OR, 97333-4077, US
Phone (503) 888-6914
Fax
Toxanomy
Taxonomy Code 322D00000X
License State
License Number
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According to our database, Trillium Family Service NPI is 1275734485, taxonomy code is 322D00000X Trillium Family Service physically located at 4455 Ne Highway 20, Corvallis OR, 97330-9695. NPI Number 1033115704 has the healthcare provider type.

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1275734485 NPI number is provided on an as is basis without warranty of any kind. 1275734485 is maintained by the National Plan & Provider Enumeration System. The contents of Trillium Family Service are for informational purposes only.