OrganizationActive
Family Solutions
NPI 1346341427 · Adolescent and Children Mental Health Clinic/Center · Medford, OR
Provider details
- NPI number
- 1346341427
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dorothy Provencio, Executive Director(541) 414-1720
Specialties & taxonomies
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
201 W Main St Ste 4b
Medford, OR 97501-2734
Phone: (541) 414-1720
Fax: (541) 414-1724
Street-level locationGet directions
Mailing address
1836 Fremont St
Ashland, OR 97520-2537
Other names (DBA / former)
- Former legal business name
- Southern Oregon Child Study and Treatment Center, Inc.
- Former legal business name
- Southern Oregon Child Study and Treatment Center, Inc.
Registry dates
- Enumerated
- 2006-09-25
- Last updated
- 2023-11-29
- Certified
- 2021-09-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.