Organization · Type 2 NPI
Radical Nest LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Salem, OR
NPI number
1649874488
Active
Practice location
880 Liberty St NE Ste 109
Salem, OR 97301-2450
Fax (971) 345-4149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
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About NPI 1649874488
Radical Nest LLC's National Provider Identifier is 1649874488, issued on Nov 23, 2020. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Salem, OR. The record was last updated on Jul 24, 2024.