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NPI 1548511694 · Mental Illness Community Based Residential Treatment Facility · Medford, OR
Provider details
- NPI number
- 1548511694
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shelly Uhrig, Executive Director(541) 476-2373
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1911 Hazel Ave
Medford, OR 97501-1630
Phone: (541) 472-9900
Street-level locationGet directions
Mailing address
1215 Sw G St
Grants Pass, OR 97526-2544
Other names (DBA / former)
- Other name
- Hazel Center Srtf
- Other name
- Hazel Center Srtf
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.