Individual provider · Type 1 NPI
David Pungercar
Emotionally Disturbed Childrens' Residential Treatment Facility · Salem, OR
Practice location
4347 Sunnyview Rd. NE
Salem, OR 97305
Mailing address
715 SW Ramsey Ave
Grants Pass, OR 97527-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | None listed |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
3 other providers at this address
About NPI 1700265147
David Pungercar's National Provider Identifier is 1700265147, issued on May 19, 2015. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Salem, OR. The record was last updated on May 19, 2015.