Organization · Type 2 NPI

Elderly and Disabled Services

Mental Illness Community Based Residential Treatment Facility · Medford, OR

NPI number 1336889211 Active

Practice location

3126 State St Ste 100
Medford, OR 97504-8665

Call (458) 225-9358 Map

Mailing address

4439 Hamrick Rd
Central Point, OR 97502-2816

Other practice locations

  • 248 Mace Rd, Medford, OR 97501-1280 · (541) 261-1991
  • 4439 Hamrick Rd, Central Point, OR 97502-2816 · (541) 261-1991

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1336889211

Elderly and Disabled Services's National Provider Identifier is 1336889211, issued on Mar 30, 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 Dec 16, 2024.