| Holt - Sunny Ridge Children's Services | |
|
250 Country Club Rd Eugene OR 97401 | |
| (541) 687-2202 | |
| (541) 683-6175 |
| Full Name | Holt - Sunny Ridge Children's Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 250 Country Club Rd, Eugene, Oregon |
| Authorized Official Name and Position | Daniel J. Smith (CFO) |
| Authorized Official Contact | 5416872202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Holt - Sunny Ridge Children's Services Po Box 2880 Eugene OR 97402-0375 Ph: (541) 687-2202 | Holt - Sunny Ridge Children's Services 250 Country Club Rd Eugene OR 97401 Ph: (541) 687-2202 |
| NPI Number | 1538586649 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 10/28/2020 |
| Certification Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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