Organization
JACKSON COUNTY MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GORDON A NORMAN LPC (PROGRAM MANAGER)
(541) 734-3952
Entity
Organization
Contact information
Practice address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 734-3953
Mailing address
1911 HAZEL AVE, MEDFORD, OR 97501-1630
(541) 734-3953
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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