| New Summit Behavioral Therapy, Llc | |
|
1056 Green Acres Rd # 102-360 Eugene OR 97408-1505 | |
| (951) 675-5470 | |
| Not Available |
| Full Name | New Summit Behavioral Therapy, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1056 Green Acres Rd # 102-360, Eugene, Oregon |
| Authorized Official Name and Position | Evan Gregory Ryerson (FOUNDER) |
| Authorized Official Contact | 9516755470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Summit Behavioral Therapy, Llc 1056 Green Acres Rd # 102-360 Eugene OR 97408-1505 Ph: (951) 675-5470 | New Summit Behavioral Therapy, Llc 1056 Green Acres Rd # 102-360 Eugene OR 97408-1505 Ph: (951) 675-5470 |
| NPI Number | 1689203515 |
|---|---|
| Provider Enumeration Date | 04/02/2020 |
| Last Update Date | 04/02/2020 |
| Certification Date | 04/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689203515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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