Taxonomy Code 322D00000X(322d00000x)
Emotionally Disturbed Childrens' Residential Treatment Facility. Providers: 3

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Emotionally Disturbed Childrens' Residential Treatment Facility Providers

NPI Name Type Address

1700265147

David Pungercar

Individual

4347 Sunnyview Rd. Ne

Salem, OR

1548636079

Professional Therapuetic Community Network

Organization

2905 River Rd S

Salem, OR

1497205686

Beacon Youth & Prevention Services

Organization

3000 Market St Ne

Suite 528

Salem, OR

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 322D00000X
Display Name Emotionally Disturbed Childrens' Residential Treatment Facility
Taxonomy Group Residential Treatment Facilities
Taxonomy Classification Residential Treatment Facility, Emotionally Disturbed Children
Definition A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Effective Date September 30, 2009
Modification Date September 30, 2009
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