Individual provider · Type 1 NPI

Mindie A. Medina, BA

Community/Behavioral Health Agency · Medford, OR

NPI number 1609292069 Active

Practice location

1005 E. Main St
Medford, OR 97504

Mailing address

2190 Delta Waters Rd
Medford, OR 97504-4906

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1609292069

Mindie A. Medina, BA's National Provider Identifier is 1609292069, issued on Mar 10, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Medford, OR. The record was last updated on Mar 10, 2014.