Provider Demographics
NPI:1528208923
Name:MARION COUNTY JUVENILE DEPARTMENT
Entity Type:Organization
Organization Name:MARION COUNTY JUVENILE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:FAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-588-5411
Mailing Address - Street 1:3030 CENTER ST NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-4528
Mailing Address - Country:US
Mailing Address - Phone:503-373-3762
Mailing Address - Fax:503-566-2921
Practice Address - Street 1:3030 CENTER ST NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-4528
Practice Address - Country:US
Practice Address - Phone:503-373-3762
Practice Address - Fax:503-566-2921
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARION COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management