Organization · Type 2 NPI

Columbiacare Services

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

NPI number 1588066484 Active

Practice location

1123 Anderson Ave
Coos Bay, OR 97420-4638

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

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 1588066484

Columbiacare Services's National Provider Identifier is 1588066484, issued on Sep 23, 2014. 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 Sep 23, 2014.