Provider First Line Business Practice Location Address:
1005 EAST MAIN STREET
Provider Second Line Business Practice Location Address:
JACKSON COUNTY MENTAL HEALTH
Provider Business Practice Location Address City Name:
MEDFORD
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-774-7890
Provider Business Practice Location Address Fax Number:
541-774-7981
Provider Enumeration Date:
01/21/2011