| Sunlight Family Center, Llc | |
|
604 Spruce Street Brookings OR 97415 | |
| (541) 412-9141 | |
| Not Available |
| Full Name | Sunlight Family Center, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 604 Spruce Street, Brookings, Oregon |
| Authorized Official Name and Position | Jocelyn Gates (OWNER) |
| Authorized Official Contact | 5414129141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunlight Family Center, Llc Po Box 7264 Brookings OR 97415-0336 Ph: (541) 412-9141 | Sunlight Family Center, Llc 604 Spruce Street Brookings OR 97415 Ph: (541) 412-9141 |
| NPI Number | 1699033365 |
|---|---|
| Provider Enumeration Date | 05/01/2012 |
| Last Update Date | 05/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699033365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | L4678 (Oregon) | Primary |
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