Individual provider · Type 1 NPI

Tracy Anderman

Emotionally Disturbed Childrens' Residential Treatment Facility · Bend, OR

NPI number 1184485922 Active

Practice location

61850 Dobbin Rd
Bend, OR 97702-9536

Mailing address

974 NW Yosemite Dr
Bend, OR 97703-6722

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone 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.

7 other providers at this address

About NPI 1184485922

Tracy Anderman's National Provider Identifier is 1184485922, issued on Jan 18, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Bend, OR. The record was last updated on Jan 18, 2024.