Organization · Type 2 NPI

Telecare Mental Health Services of Oregon, Inc.

Mental Illness Community Based Residential Treatment Facility · Bend, OR

NPI number 1972814028 Active

Practice location

1058 NE 12th St
Bend, OR 97701-4412

Call (510) 337-7950 Map

Fax (510) 337-7969

Mailing address

1080 Marina Village Pkwy
Alameda, CA 94501-6427

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.

12 other providers at this address

Other mental illness community based residential treatment facility providers in Bend

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NPI record

NPI: 1972814028
Entity type: Organization (Type 2)
Issued: Jun 23, 2010
Last updated: May 17, 2023
Status: Active

Other names

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Telecare 12th Street House · doing business as
Telecare 12th Street House · doing business as

Authorized official

Lorena Lopez
Provider Relations Supervisor
(510) 337-7950

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972814028

Telecare Mental Health Services of Oregon, Inc.'s National Provider Identifier is 1972814028, issued on Jun 23, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Bend, OR. The record was last updated on May 17, 2023.