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64TH AVE LLC
Mental Illness Community Based Residential Treatment Facility
NPI: 1912152570Organization
Specialties, Licenses & Credentials
Community Based Residential Treatment Facility, Mental Illness
Code: 320800000X
869(OR)
Contact & Hours
- Address
- 4199 SE KING RD
MILWAUKIE, OR 97222 - Phone
- (503) 786-3830
Quick Facts
- NPI
- 1912152570
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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