| Southern Oregon Adolescent Study & Treatment Center | |
|
1913 Meade St North Bend OR 97459-3432 | |
| (541) 756-4508 | |
| (541) 756-4550 |
| Full Name | Southern Oregon Adolescent Study & Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1913 Meade St, North Bend, Oregon |
| Authorized Official Name and Position | Joanne Elizabeth Shorb (TREATMENT FOSTER CARE COORDINATOR) |
| Authorized Official Contact | 5417564508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Oregon Adolescent Study & Treatment Center 1913 Meade St North Bend OR 97459-3432 Ph: (541) 756-4508 | Southern Oregon Adolescent Study & Treatment Center 1913 Meade St North Bend OR 97459-3432 Ph: (541) 756-4508 |
| NPI Number | 1518244888 |
|---|---|
| Provider Enumeration Date | 11/14/2011 |
| Last Update Date | 11/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518244888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 253J00000X | Foster Care Agency | (* (Not Available)) | Secondary |
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