NPI 1124427778

Looking Glass

Organisation Mental Illness Community Based Residential Treatment Facility Eugene, OR

Practice location

Address: 1790 W 11th Ave, Eugene, OR 97402-3758
Phone: (541) 686-2611

Authorised official

Name: Amaelo Ezeonwuka
Title: Therapist
Phone: (541) 505-5484

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oregon →

Registry record

NPI: 1124427778
Entity type: Organization
NPI issued: 20 Aug 2014
Record last updated: 20 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.