Organization · Type 2 NPI

Columbiacare Services

Mental Illness Community Based Residential Treatment Facility · Medford, OR

NPI number 1104186014 Active

Practice location

3587 Heathrow Way
Medford, OR 97504-4004

Call (541) 858-8170 Map

Mailing address

2409 SE 139th Ave
Portland, OR 97233-2041

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X810609831 (OR)

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 1104186014

Columbiacare Services's National Provider Identifier is 1104186014, issued on May 24, 2012. 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 May 24, 2012.