| Organization Name: | TILLAMOOK FAMILY COUNSELING CENTER |
| NPI Number: | 1063623478 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUE VINCENT (OFFICE MANAGER) |
| Mailing Address: | 906 Main Ave Tillamook |
| State: | OR US |
| Postal Code: | 971413816 |
| Phone Number: | 5038428201 |
| Fax Number: | 5038151870 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 10/03/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |