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Options For Southern Oregon
Mental Illness Community Based Residential Treatment Facility in Medford, Oregon
NPI 1548511694

Options For Southern Oregon is a Mental Illness Community Based Residential Treatment Facility based in Grants Pass, OR. Options For Southern Oregon practices in Medford, OR. The NPI Number for Options For Southern Oregon is 1548511694 and holds a License No. (Oregon).

The current practice location address for Options For Southern Oregon is 1911 Hazel Ave, Medford, OR and can be reached out via phone at 541-472-9900.

Location: 1911 Hazel Ave, Medford, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548511694
Provider Name
Options For Southern Oregon
Credential
Provider Entity Type
Organization
Address
1911 Hazel Ave, Medford, OR, 97526-2544
Phone Number
541-472-9900
Fax Number
Provider Enumeration Date
09/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500500016 01 OR MEDICAID AGENCY PROVIDER #11/08
209973 01 OR MEDICAID AGENCY #
institution
Provider Business Practice Location Address Details
Address
1911 Hazel Ave
City
Medford
State
Oregon
Zip
97501-1630
Phone Number
541-472-9900
Fax Number
person
Provider Business Mailing Address Details
Address
1911 Hazel Ave
City
Medford
State
Oregon
Zip
97501-1630
Phone Number
541-472-9900
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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