Organization
TELECARE RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHEAL DEHART (PEER SUPPORT SPECIALIST)
(503) 982-9300
Entity
Organization
Contact information
Practice address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Mailing address
1605 E LINCOLN RD, WOODBURN, OR 97071-5137
(503) 982-9300
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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