CENTRAL OREGON EXTENDED UNIT FOR RECOVERY
Residential Treatment Facilities at 9 St, Prineville, OR

License number
Oregon 06519591
Category
Residential Treatment Facilities
Type
Substance Abuse Rehabilitation Facility
Owner
Name: MRS. ERICA P FULLER MA, LPC, CADC III
Title: EXECUTIVE DIRECTOR
Phone: (541) 447-2631
Address
Address
1333 NW 9Th St, Prineville, OR 97754
National Provider ID: 1194873406
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL OREGON EXTENDED UNIT FOR RECOVERY, INC

1333 NW 9, Prineville, OR 97754

Industry:
Individual/Family Services Specialty Outpatient Clinic, Specialty Hospital Specialty Outpatient Clinic
Registration:
Nov 7, 1989
Phone:
(541) 447-2631 (Phone)
State ID:
17713884
Business type:
Domestic Nonprofit Corporation
Directors:
Cyndi Wunder (Manager),Ann Leon (Bookkeeper),Altara Lynne Stever (Out Patient Counselor),...
Agent:
Erica Fuller,1333 NW 9 St, Prineville, OR 97754 (Physical)

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