NPI 1083070361

Oregon 180

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Medford, OR

Practice location

Address: 725 W 14th St, Medford, OR 97501-3429
Phone: (541) 621-3053

Authorised official

Name: Karen Barnard
Title: Program Manager
Phone: (541) 621-3053

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1083070361
Entity type: Organization
NPI issued: 3 Jan 2016
Record last updated: 3 Jan 2016

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.