| Mid-columbia Child & Family Center, Inc. | |
|
3221 W 10th St The Dalles OR 97058-4373 | |
| (541) 298-5104 | |
| (541) 298-4108 |
| Full Name | Mid-columbia Child & Family Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3221 W 10th St, The Dalles, Oregon |
| Authorized Official Name and Position | Ivan Frasier (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5412985104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-columbia Child & Family Center, Inc. 3221 W 10th St The Dalles OR 97058-4373 Ph: (541) 298-5104 | Mid-columbia Child & Family Center, Inc. 3221 W 10th St The Dalles OR 97058-4373 Ph: (541) 298-5104 |
| NPI Number | 1023161288 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023161288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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