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Carrolls Group Care Home Inc
Mental Illness Community Based Residential Treatment Facility in Salem, Oregon
NPI 1255605101

Carrolls Group Care Home Inc is a Mental Illness Community Based Residential Treatment Facility based in Salem, OR. Carrolls Group Care Home Inc practices in Salem, OR. The NPI Number for Carrolls Group Care Home Inc is 1255605101 and holds a License No. 507684 (Oregon).

The current practice location address for Carrolls Group Care Home Inc is 1240 Royvonne Ave Se, Salem, OR and can be reached out via phone at 503-362-2605 and via fax at 503-362-2605. You can also correspond with Carrolls Group Care Home Inc through the mailing address at PO BOX 12035, SALEM, OR - 97309-0035 (mailing address contact number: 503-399-0189).

Location: 1240 Royvonne Ave Se, Salem, OR, 97309-0035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255605101
Provider Name
Carrolls Group Care Home Inc
Credential
Provider Entity Type
Organization
Address
1240 Royvonne Ave Se, Salem, OR, 97309-0035
Phone Number
503-362-2605
Fax Number
503-362-2605
Provider Enumeration Date
02/23/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1240 Royvonne Ave Se
City
Salem
State
Oregon
Zip
97302-1935
Phone Number
503-362-2605
Fax Number
503-362-2605
person
Provider Business Mailing Address Details
Address
Po Box 12035
City
Salem
State
Oregon
Zip
97309-0035
Phone Number
503-399-0189
Fax Number
503-581-8799
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
507684 (Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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