| NPI | 1821711177 |
|---|---|
| Doing Business As | LAKE DISTRICT WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | CHARLES BODELL TVEIT CEO 541-947-7307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TF0000X Psychologist, Family | |
| 103TR0400X Psychologist, Rehabilitation | |
| 106H00000X Marriage & Family Therapist | |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
| 2084H0002X | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |