Organization · Type 2 NPI
Oregon 180
Emotionally Disturbed Childrens' Residential Treatment Facility · Medford, OR
NPI number
1083070361
Active
Practice location
725 W 14th St
Medford, OR 97501-3429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
About NPI 1083070361
Oregon 180's National Provider Identifier is 1083070361, issued on Jan 3, 2016. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Medford, OR. The record was last updated on Jan 3, 2016.