Organization · Type 2 NPI

Goshen Land Clinic LLC

Community/Behavioral Health Agency · Portland, OR

NPI number 1053199588 Active

Practice location

2005 SE 82nd Ave Ste 6
Portland, OR 97216-1453

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1053199588

Goshen Land Clinic LLC's National Provider Identifier is 1053199588, issued on Sep 18, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2023.