| Organization Name: | WALLOWA VALLEY CENTER FOR WELLNESS |
| NPI Number: | 1043249907 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EVELYN ANN SWART (BOARD CHAIR) |
| Mailing Address: | 207 Sw 1st St Enterprise |
| State: | OR US |
| Postal Code: | 978281203 |
| Phone Number: | 5414264524 |
| Fax Number: | 5414263035 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |