NPI 1447845763
Elderly and Disabled Services
Practice location
- Address
- 4439 Hamrick Rd, Central Point, OR 97502-2816
- Phone
- (541) 261-1991
- Fax
- (541) 631-3424
- Mailing address
- 3126 State St STE 100, Medford, OR 97504-8665
Authorised official
- Name
- Larry Michael McPhee
- Title
- Provider
- Phone
- (541) 261-1991
Registered specialties (2)
Mental Illness Community Based Residential Treatment Facility
Primary
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1447845763
- Entity type
- Organization
- NPI issued
- 8 Mar 2021
- Record last updated
- 16 Dec 2024
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.