Denovo Center, Llc | |
895 Country Club Rd Ste A140 Eugene OR 97401-6028 | |
(541) 556-6552 | |
(541) 230-9656 |
Full Name | Denovo Center, Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 895 Country Club Rd Ste A140, Eugene, Oregon |
Authorized Official Name and Position | Stephanie Waguespack (CHIEF OPERATING OFFICER/FOUNDER) |
Authorized Official Contact | 5415565652 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Denovo Center, Llc 1863 Pioneer Pkwy E # 203 Springfield OR 97477-3907 Ph: (541) 556-5652 | Denovo Center, Llc 895 Country Club Rd Ste A140 Eugene OR 97401-6028 Ph: (541) 556-6552 |
NPI Number | 1952977480 |
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Provider Enumeration Date | 06/03/2021 |
Last Update Date | 03/16/2022 |
Certification Date | 03/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952977480 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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