PROFESSIONAL THERAPUETIC COMMUNITY NETWORK NPI 1548636079

NPI Information

PROFESSIONAL THERAPUETIC COMMUNITY NETWORK is a residential treatment facility emotionally disturbed children in Salem, OR. The provider is 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. PROFESSIONAL THERAPUETIC COMMUNITY NETWORK NPI is 1548636079. The provider is registered as an organization entity type.

The provider's business location address is:

2905 RIVER RD S
SALEM, OR
ZIP 97302-754
Phone: (503) 391-7175

The provider's authorized official is Jessse L Watson .
The authorized official title is Ceo and has the following contact phone number (503) 391-7175.

The enumeration date for this NPI number is 8/19/2015 and was last updated on 8/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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