Jackson Co Child Abuse Task Force Inc in Medford - Adolescent And Children Mental Health
Jackson Co Child Abuse Task Force Inc - NPI 1063585065
Jackson Co Child Abuse Task Force Inc is a Adolescent And Children Mental Health in Medford, Oregon. Jackson Co Child Abuse Task Force Inc practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Jackson Co Child Abuse Task Force Inc is 1063585065. The last update date is 2022-11-04.
Jackson Co Child Abuse Task Force Inc's current location address is 816 W 10th St, Medford, Oregon. You can contact this provider via phone number 5417345437 and fax number 5417342425. The mailing address for Jackson Co Child Abuse Task Force Inc is 816 W 10th St, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jackson Co Child Abuse Task Force Inc |
|---|---|
| Address | 816 W 10th St, Medford, Oregon |
| Phone Number | 5417345437 |
| Fax Number | 5417342425 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Pitzen Tammi |
| Telephone Number | 5417345437 |
NPI Number Detail
| NPI Number | 1063585065 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2022-11-04 |
Provider Mailing Address Detail
| Address | 816 W 10th St |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975013016 |
| Phone Number | 5417345437 |
| Fax Number | 5417342425 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent And Children Mental Health |
|---|---|
| Taxonomy | 261Qm0855X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patie |
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What is the unique 10-digit identification code assigned to Jackson Co Child Abuse Task Force Inc by the Centers for Medicare & Medicaid Services?
The Jackson Co Child Abuse Task Force Inc has been issued the NPI (National Provider Identifier) 1063585065, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jackson Co Child Abuse Task Force Inc?
The Jackson Co Child Abuse Task Force Inc is situated at 816 W 10Th St, in the city of Medford, state of OR, with the zip code 975013016.
What is Jackson Co Child Abuse Task Force Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jackson Co Child Abuse Task Force Inc's area of specialization is Adolescent And Children Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 261Qm0855X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063585065 to Jackson Co Child Abuse Task Force Inc?
The Centers for Medicare & Medicaid Services originally issued the 1063585065 to Jackson Co Child Abuse Task Force Inc on 2006-11-16.
As of what date was the information regarding Jackson Co Child Abuse Task Force Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jackson Co Child Abuse Task Force Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-11-04.