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David Pungercar
Emotionally Disturbed Childrens' Residential Treatment Facility in Salem, Oregon
NPI 1700265147

David Pungercar is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Grants Pass, OR. David Pungercar practices in Salem, OR. The NPI Number for David Pungercar is 1700265147 and holds a License No. (Oregon).

The current practice location address for David Pungercar is 4347 Sunnyview Rd. Ne, Salem, OR and can be reached out via phone at 541-956-4943.

Location: 4347 Sunnyview Rd. Ne, Salem, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700265147
Provider Name
David Pungercar
Credential
Provider Entity Type
Individual
Gender
Male
Address
4347 Sunnyview Rd. Ne, Salem, OR, 97527-5500
Phone Number
541-956-4943
Fax Number
Provider Enumeration Date
05/19/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4347 Sunnyview Rd. Ne
City
Salem
State
Oregon
Zip
97305
Phone Number
541-956-4943
Fax Number
person
Provider Business Mailing Address Details
Address
4347 Sunnyview Rd. Ne
City
Salem
State
Oregon
Zip
97305
Phone Number
541-956-4943
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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