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1447031679
PRAIRIE BLOOM CENTER FOR GROWTH INC
EUGENE, OR
NPI
1447031679
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Entity Type
Organization
Authorized Contact
MATHEW MEXICOTTE
Board President
541-556-9665
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-10-12
Last Update Date
2023-10-12
Business Address
PRAIRIE BLOOM CENTER FOR GROWTH INC
1029 RIVER RD
EUGENE, OR 97404-3242
Phone number: 541-556-9665
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Mailing Address
PRAIRIE BLOOM CENTER FOR GROWTH INC
1029 RIVER RD
EUGENE, OR 97404-3242
Phone number: 541-556-9665
Copy
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