| Professional Therapeutic Community Network, Inc | |
|
2905 River Rd S Salem OR 97302-9754 | |
| (503) 391-7175 | |
| (503) 585-3303 |
| Full Name | Professional Therapeutic Community Network, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2905 River Rd S, Salem, Oregon |
| Authorized Official Name and Position | Jesse Watson (CEO) |
| Authorized Official Contact | 5033917175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Therapeutic Community Network, Inc 2905 River Rd S Salem OR 97302-9754 Ph: (503) 391-7175 | Professional Therapeutic Community Network, Inc 2905 River Rd S Salem OR 97302-9754 Ph: (503) 391-7175 |
| NPI Number | 1629223243 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629223243 | NPI | - | NPPES |
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