| Intawell Behavioral Health Llc | |
|
895 E Coyote Springs Rd Sisters OR 97759-9518 | |
| (541) 668-5238 | |
| Not Available |
| Full Name | Intawell Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 895 E Coyote Springs Rd, Sisters, Oregon |
| Authorized Official Name and Position | Kelly Davis Martin (OWNER) |
| Authorized Official Contact | 5416685238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intawell Behavioral Health Llc 895 E Coyote Springs Rd Sisters OR 97759-9518 Ph: (541) 668-5238 | Intawell Behavioral Health Llc 895 E Coyote Springs Rd Sisters OR 97759-9518 Ph: (541) 668-5238 |
| NPI Number | 1811629322 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 06/24/2022 |
| Certification Date | 06/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811629322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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