| Youth Villages | |
|
2659 Sw 4th St Suite 102 Redmond OR 97756-6406 | |
| (541) 516-6330 | |
| (541) 516-6331 |
| Full Name | Youth Villages |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2659 Sw 4th St, Redmond, Oregon |
| Authorized Official Name and Position | Andrew Grover (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5036752232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Villages 2659 Sw 4th St Suite 102 Redmond OR 97756-6406 Ph: (541) 516-6330 | Youth Villages 2659 Sw 4th St Suite 102 Redmond OR 97756-6406 Ph: (541) 516-6330 |
| NPI Number | 1003350257 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003350257 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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