Jasper Mountain
Jasper Mountain is a Mental Illness Community Based Residential Treatment Facility in Jasper, Oregon. Licensed in Oregon. Registered with an NPI since 2006.
- Licensed in
- OR
- In the registry since
- 2006
- Specialties on file
- 4
Practice location Address checks out
37875 Jasper Lowell RdJasper, OR 97438-9751
Phone: (541) 747-1235
Fax: (541) 747-4722
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X (OR) |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X (OR) |
| Psychiatric Residential Treatment Facility | Taxonomy 323P00000X |
| Child Mental Illness Respite Care | Taxonomy 385HR2055X (OR) |
Record details
| NPI number | 1497821680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carita Lively — Compliance Specialist · (541) 747-1235 |
| NPI enumerated | November 28, 2006 |
| Last updated in NPPES | March 8, 2024 |
| Certification date | March 8, 2024 |
| Mailing address | 37875 Jasper Lowell Rd, Jasper, OR 97438-9751 |