Jefferson Behavioral Health
NPI #1861575912 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1861575912
- Entity Type
- Organization
- Organization Name
- Jefferson Behavioral Health
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Oct 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 223 SE M ST
- Address 2
- HAMILTON HOUSE ANNEX
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-3133
- Phone
- (541) 955-9565
Authorized Official
- Name
- MRS. ARLENE LOGAN, LCSW
- Title
- EXECUTIVE DIRECTOR
- Phone
- (541) 955-9565
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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