Organization
OPTIONS FOR SOUTHERN OREGON
Active
Organization
OPTIONS FOR SOUTHERN OREGON
Active
Other names
HAZEL CENTER SRTF
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY UHRIG (EXECUTIVE DIRECTOR)
(541) 476-2373
Entity
Organization
Contact information
Practice address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 472-9900
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
(541) 476-2373
(541) 476-1526
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209973
MEDICAID AGENCY #
OR
01
—
500500016
MEDICAID AGENCY PROVIDER #11/08
OR
Enumeration date
09/28/2012
Last updated
03/26/2026
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