Organization
COLUMBIACARE SERVICES
Active
Other names
Gold Beach Bungalows
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SEWITSKY (FINANCE DIRECTOR)
(541) 858-8170
Entity
Organization
Contact information
Practice address
29415 RUSSELL ST, GOLD BEACH, OR 97444
(541) 254-0630
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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