Organization · Type 2 NPI

Columbiacare Services

Mental Illness Community Based Residential Treatment Facility · Coos Bay, OR

NPI number 1356438592 Active

Practice location

1885 Thompson Rd
Coos Bay, OR 97420-2152

Fax (541) 266-8479

Mailing address

1175 E Main St, 1B
Medford, OR 97504-7499

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X545 (OR)
Respite Care 385H00000X545 (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 1356438592

Columbiacare Services's National Provider Identifier is 1356438592, issued on Oct 9, 2006. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Coos Bay, OR. The record was last updated on Mar 28, 2008.