Organization · Type 2 NPI
Columbiacare Serices
Mental Illness Community Based Residential Treatment Facility · Medford, OR
NPI number
1508218553
Active
Practice location
1998 Sky Park Dr Ste 102
Medford, OR 97504-5395
Fax (541) 858-8167
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
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 1508218553
Columbiacare Serices's National Provider Identifier is 1508218553, issued on Jul 1, 2016. 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 Jul 1, 2016.