Provider Demographics
NPI:1558877407
Name:BEST CARE TREATMENT SERVICES
Entity Type:Organization
Organization Name:BEST CARE TREATMENT SERVICES
Other - Org Name:DEAN K BROOKS RESPITE AND RECOVERY
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTAILING
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:VINCENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-516-4087
Mailing Address - Street 1:PO BOX 1710
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-0516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1470 NW 4TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1366
Practice Address - Country:US
Practice Address - Phone:541-516-4087
Practice Address - Fax:541-504-1195
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST CARE TREATMENT SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness