| Stonewall Behavioral Health & Mental Wellness | |
|
826 Se 10th St Pendleton OR 97801-3246 | |
| (541) 539-3214 | |
| Not Available |
| Full Name | Stonewall Behavioral Health & Mental Wellness |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 826 Se 10th St, Pendleton, Oregon |
| Authorized Official Name and Position | Nathan T Smith (OWNER) |
| Authorized Official Contact | 7653548410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonewall Behavioral Health & Mental Wellness 826 Se 10th St Pendleton OR 97801-3246 Ph: (765) 354-8410 | Stonewall Behavioral Health & Mental Wellness 826 Se 10th St Pendleton OR 97801-3246 Ph: (541) 539-3214 |
| NPI Number | 1316781735 |
|---|---|
| Provider Enumeration Date | 06/20/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316781735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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