Organization · Type 2 NPI
Kanewood Residential LLC
Mental Illness Community Based Residential Treatment Facility · Gresham, OR
NPI number
1114850245
Active
Practice location
425 SE Kane Dr
Gresham, OR 97080-1628
Fax (503) 927-9202
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.
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About NPI 1114850245
Kanewood Residential LLC's National Provider Identifier is 1114850245, issued on Jun 8, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gresham, OR. The record was last updated on Jun 8, 2026.