Columbacare Services

NPI #1518201151 in Brookings, Oregon

Provider Information

NPI Number: 1518201151
Entity Type: Organization
Organization Name: Columbacare Services
Primary Specialty: Psychiatric Residential Treatment Facility
Enumeration Date: Nov 20, 2012
Last Updated: Nov 20, 2012

Practice Location

Address: 210 COVE LANE
City: Brookings
State: Oregon
ZIP Code: 97415
Phone: (541) 858-8170

Authorized Official

Name: MIKE DAVID SEWITSKY
Title: FINANCE MANAGER
Phone: (541) 858-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Psychiatric Residential Treatment Facility	323P00000X	Primary

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