-- JOYCE BAILEY -- QMHA
Individual Provider (NPI-1)
Active
Community Based Residential Treatment Facility, Mental Illness
Provider Information
- NPI Number
1235506171- Provider Type
- Individual Provider (NPI-1)
- Credentials
- QMHA
- Status
- Active
Contact & Location
- Address
- 4101 NE DIVISION ST, GRESHAM, OR, 970304617
- Phone
- (503) 666-6575
Specialties & Taxonomies
Community Based Residential Treatment Facility, Mental Illness
Primary License: OR #174378371
All Addresses
MAILING
3443 NE 15TH ST
GRESHAM, OR, 970304503