Organization Name: | TELECARE MENTAL HEALTH SERVICES OF OREGON, INC |
NPI Number: | 1245624253 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARSHALL LANGFELD (SVP, CFO) |
Mailing Address: | 805 Se 151st Ave Portland |
State: | OR US |
Postal Code: | 972332916 |
Phone Number: | 9712717270 |
Fax Number: | 9713026046 |
NPI Enumeration Date: | 03/27/2015 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |