NPI | 1093074882 |
---|---|
Other Name | LUTHERAN COMMUNITY SERVICES NW - BEND |
Entity Type | Organization |
Authorized Contact | DANIEL JOHNSTON Contract And Grant Administrator 206-816-3223 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
251S00000X Community/Behavioral Health | |
305R00000X Preferred Provider Organization | |
Enumeration Date | 2012-05-14 |
Last Update Date | 2019-10-15 |