The Clinic For Emotional Wellness | |
23065 Bacchus Ln Bend OR 97702-9298 | |
(208) 681-6097 | |
Not Available |
Full Name | The Clinic For Emotional Wellness |
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Speciality | Community/behavioral Health |
Location | 23065 Bacchus Ln, Bend, Oregon |
Authorized Official Name and Position | Eric Pettingill (CEO) |
Authorized Official Contact | 2086816097 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Clinic For Emotional Wellness 23065 Bacchus Ln Bend OR 97702-9298 Ph: (208) 681-6097 | The Clinic For Emotional Wellness 23065 Bacchus Ln Bend OR 97702-9298 Ph: (208) 681-6097 |
NPI Number | 1932880226 |
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Provider Enumeration Date | 07/28/2023 |
Last Update Date | 07/28/2023 |
Certification Date | 07/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932880226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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