OrganizationActive
Live. Grow. Share. LLC
NPI 1235819970 · Substance Use Disorder Rehabilitation Clinic/Center · Eugene, OR
Provider details
- NPI number
- 1235819970
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Live. Grow. Share. LLC
- Organization subpart
- Yes
- Authorized official
- Kendra Stidhem, Director of Outpatient Services(541) 505-9190
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1966 Garden Ave
Eugene, OR 97403-1933
Phone: (541) 505-9190
Fax: (541) 505-9264
Approximate (ZIP-level) locationGet directions
Mailing address
1966 Garden Ave
Eugene, OR 97403-1933
Additional practice locations (2)
- 28517 Restwell RdEugene, OR 97402-9033Phone: (541) 505-9190
- 87750 Charlet DrEugene, OR 97402-9151Phone: (541) 505-9190
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2024-12-26
- Certified
- 2024-12-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.