Organization · Type 2 NPI
Mountain Wellness LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Roseburg, OR
NPI number
1982279808
Active
Practice location
855 SE Mosher Ave
Roseburg, OR 97470-3961
Mailing address
444 NE Winchester St, Pmb 18A
Roseburg, OR 97470-3256
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...
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About NPI 1982279808
Mountain Wellness LLC's National Provider Identifier is 1982279808, issued on May 24, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Roseburg, OR. The record was last updated on May 24, 2021.