JAMES CORNELIUS

BAKER CITY, OR
NPI1346547510
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  09-P-15)
Enumeration Date2011-02-23
Last Update Date2011-02-23
Business Address
JAMES CORNELIUS CADC
2013 1ST ST
BAKER CITY, OR 97814-3339
Phone number: 541-523-3841
Mailing Address
JAMES CORNELIUS CADC
2013 1ST ST
BAKER CITY, OR 97814-3339
Phone number: 541-523-3841