Organization Name: | COUNTY OF LINCOLN |
NPI Number: | 1205161007 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERYL S CONNELL (DIRECTOR) |
Mailing Address: | 4422 Ne Devils Lake Blvd Ste 2 Lincoln City |
State: | OR US |
Postal Code: | 973675000 |
Phone Number: | 5415572700 |
Fax Number: | 5419940261 |
NPI Enumeration Date: | 10/12/2009 |
NPI Last Update Date: | 05/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |