Provider Demographics
NPI:1548474562
Name:CHRISTIANS AS FAMILY ADVOCATES
Entity type:Organization
Organization Name:CHRISTIANS AS FAMILY ADVOCATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:REXIUS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:541-349-7550
Mailing Address - Street 1:921 COUNTRY CLUB RD
Mailing Address - Street 2:222
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2257
Mailing Address - Country:US
Mailing Address - Phone:541-686-6000
Mailing Address - Fax:541-344-8239
Practice Address - Street 1:921 COUNTRY CLUB RD
Practice Address - Street 2:222
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2257
Practice Address - Country:US
Practice Address - Phone:541-686-6000
Practice Address - Fax:541-344-8239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500694292Medicaid