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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