CHILDREN FARM HOME NPI 1760827182

NPI Information

CHILDREN FARM HOME is a residential treatment facility emotionally disturbed children in Corvallis, 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. CHILDREN FARM HOME NPI is 1760827182. The provider is registered as an organization entity type.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 757-1852

The provider's authorized official is Walker Cook Vave .
The authorized official title is Skills Trainer and has the following contact phone number (541) 758-5944.

The CLIA number assigned to this NPI record is 38D2153461 - other - res mental health facilty with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/30/2013 and was last updated on 4/30/2013.

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:

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