CRYSTAL ROSE TEMPLE

SAINT HELENS, OR
NPI1780007476
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2014-01-30
Last Update Date2016-10-10
Business Address
-- CRYSTAL ROSE TEMPLE
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211
Mailing Address
-- CRYSTAL ROSE TEMPLE
58646 MCNULTY WAY
SAINT HELENS, OR 97051-6210
Phone number: 503-397-5211