Organization · Type 2 NPI
Shalom SD RTH LLC
Mental Illness Community Based Residential Treatment Facility · Fairview, OR
NPI number
1043156706
Active
Practice location
1818 Fairview Ave
Fairview, OR 97024-3761
Fax (404) 740-7257
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None listed |
Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Other mental illness community based residential treatment facility providers in Fairview
About NPI 1043156706
Shalom SD RTH LLC's National Provider Identifier is 1043156706, issued on Apr 27, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Fairview, OR. The record was last updated on Apr 27, 2026.