Professional Therapuetic Community Network

LBN: Professional Therapuetic Community Network
Professional Therapuetic Community Network is an health care organization with primary practice located at 2905 River Rd S , Salem OR 97302-9754. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Professional Therapuetic Community Network can be contacted via phone (503) 391-7175, or through Watson, Jessse L via phone (503) 391-7175.

Contact Information

Primary practice address
2905 River Rd S Salem OR 97302-9754
Phone: (503) 391-7175
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watson, Jessse L MS.CCSOFT
Phone: (503) 391-7175

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1548636079
LBN Legal business name Professional Therapuetic Community Network
DBA Doing business as
Authorized official Watson, Jessse L MS.CCSOFT
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2015
Last updated Aug 19th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548636079 NPPES
Oregon MEDICAID 500657056

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