COLUMBIACARE SERVICES
Residential Treatment Facilities at Russell St, Gold Beach, OR

License number
Oregon 717
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
License number
Oregon 717
Category
Residential Treatment Facilities
Type
Psychiatric Residential Treatment Facility
Owner
Name: MR. ROBERT C BECKETT
Title: EXECUTIVE DIRECTOR
Phone: (541) 858-8170
Address
Address 2
29413 Russell St, Gold Beach, OR 97444
3587 Heathrow Way, Medford, OR 97504
National Provider ID: 1609963842
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COLUMBIACARE SERVICES at bizstanding.com

COLUMBIACARE SERVICES, INC

3587 Heathrow Way, Medford, OR 97504

Doing business as:
Columbiacare
Registration:
Apr 17, 2003
Phone:
(541) 858-8170 (Phone), (541) 858-4699 (Phone)
State ID:
14397590
Business type:
DOMESTIC NONPROFIT CORPORATION
President/executive Director:
Robert Beckett (President/executive Director)
Agent:
Stacy Lferrell,3587 Heathrow Way, Medford, OR 97504 (Physical)
SIC6:
832207 - Adoption Agencies
Categories:
Government Contractors, Home Health Care
Products:
Consultations, Healthcare
Company size:
45

Other Doctors licenses in Oregon