NPI 1033926605
Elderly and Disabled Services
Practice location
- Address
- 794 Ridgeway Ave, Central Point, OR 97502-3520
- Phone
- (458) 225-9358
- Mailing address
- 3126 State St STE 100, Medford, OR 97504-8665
Authorised official
- Name
- Larry Michael McPhee
- Title
- Owner/Provider
- Phone
- (541) 261-1991
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1033926605
- Entity type
- Organization
- NPI issued
- 16 Dec 2024
- Record last updated
- 17 Jun 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.