| Cha - Thereputic Learing Classroom | |
|
323 E Third Ave Sutherlin OR 97479-9528 | |
| (541) 440-3532 | |
| (541) 440-3554 |
| Full Name | Cha - Thereputic Learing Classroom |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 323 E Third Ave, Sutherlin, Oregon |
| Authorized Official Name and Position | Janet Holland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5414403532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cha - Thereputic Learing Classroom 1600 Nw Garden Valley Blvd Suite 110 Roseburg OR 97471-8700 Ph: (541) 440-3532 | Cha - Thereputic Learing Classroom 323 E Third Ave Sutherlin OR 97479-9528 Ph: (541) 440-3532 |
| NPI Number | 1396113122 |
|---|---|
| Provider Enumeration Date | 09/10/2015 |
| Last Update Date | 09/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396113122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Applegate Psychology & Assoc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1739 Garnet Ave, Sutherlin, OR 97479 Phone: 541-459-0907 Fax: 541-459-0907 |