| 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 | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2019-10-15 |