Organization · Type 2 NPI
New Wave RTH LLC
Mental Illness Community Based Residential Treatment Facility · Medford, OR
NPI number
1093448078
Active
Practice location
2240 Terrel St.
Medford, OR 97501
Fax (541) 327-4573
Mailing address
338 Black Oak Dr.
Medford, OR 97504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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About NPI 1093448078
New Wave RTH LLC's National Provider Identifier is 1093448078, issued on Jul 6, 2022. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Medford, OR. The record was last updated on Jan 9, 2024.