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Oregon 180
Emotionally Disturbed Childrens' Residential Treatment Facility in Medford, Oregon
NPI 1083070361

Oregon 180 is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Medford, OR. Oregon 180 practices in Medford, OR. The NPI Number for Oregon 180 is 1083070361 and holds a License No. (Oregon).

The current practice location address for Oregon 180 is 725 W 14Th St, Medford, OR and can be reached out via phone at 541-621-3053.

Location: 725 W 14Th St, Medford, OR, 97501-3429
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083070361
Provider Name
Oregon 180
Credential
Provider Entity Type
Organization
Address
725 W 14Th St, Medford, OR, 97501-3429
Phone Number
541-621-3053
Fax Number
Provider Enumeration Date
01/03/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
725 W 14Th St
City
Medford
State
Oregon
Zip
97501-3429
Phone Number
541-621-3053
Fax Number
person
Provider Business Mailing Address Details
Address
725 W 14Th St
City
Medford
State
Oregon
Zip
97501-3429
Phone Number
541-621-3053
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
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.
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