ROBERT OTTO HENKEL

PRINEVILLE, OR
NPI1851682769
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  06-11-27)
Enumeration Date2011-04-26
Last Update Date2011-04-26
Business Address
-- ROBERT OTTO HENKEL CADC I
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441
Mailing Address
-- ROBERT OTTO HENKEL CADC I
365 NE COURT ST
PRINEVILLE, OR 97754-1936
Phone number: 541-447-7441