OrganizationActive
South Lane Mental Health Services, Inc
NPI 1245757772 · Substance Use Disorder Rehabilitation Clinic/Center · Cottage Grove, OR
Provider details
- NPI number
- 1245757772
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Therese Mastin, Quality Management Director(541) 767-4176
- License
- 102491-83 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1345 Birch Ave
Cottage Grove, OR 97424-1416
Phone: (541) 942-3939
Fax: (541) 942-9310
Approximate (ZIP-level) locationGet directions
Mailing address
1345 Birch Ave
Cottage Grove, OR 97424-1416
Registry dates
- Enumerated
- 2017-08-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.