Jefferson Behavioral Health
NPI #1750571345 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1750571345
- Entity Type
- Organization
- Organization Name
- Jefferson Behavioral Health
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jul 30, 2007
- Last Updated
- Aug 11, 2010
Practice Location
- Address
- 550 NE E ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-2326
- Phone
- (541) 955-9565
Authorized Official
- Name
- MR. BOB NIKKEL
- Title
- EXECUTIVE DIRECTOR
- Phone
- (541) 955-9565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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