Provider Type Icon

PROFESSIONAL THERAPEUTIC COMMUNITY NETWORK INC NPI 1629223243


NPI Information

NPI: 1629223243
Provider Name: PROFESSIONAL THERAPEUTIC COMMUNITY NETWORK, INC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
2905 RIVER RD S
SALEM, OR
ZIP 97302
Phone: (503) 391-7175
Get Directions

PROFESSIONAL THERAPEUTIC COMMUNITY NETWORK, INC is a community behavioral health in Salem, OR. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PROFESSIONAL THERAPEUTIC COMMUNITY NETWORK, INC NPI is 1629223243. 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
Fax: (503) 585-3303

The provider's authorized official is Jesse 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 11/24/2008 and was last updated on 5/16/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253J00000XFoster Care AgencyOREGONNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesOREGONNo
3320800000XCommunity Based Residential Treatment Facility, Mental IllnessOREGONNo
4251S00000XCommunity/Behavioral HealthOREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.