Individual provider · Type 1 NPI
Anne M. Wisbey
Mental Illness Community Based Residential Treatment Facility · Wallowa, OR
NPI number
1194049254
Active
Practice location
104 South Alder St.
Wallowa, OR 97885
Fax (541) 886-3039
Mailing address
P O Box 5
Wallowa, OR 97885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 3111521345 (OR) |
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.
About NPI 1194049254
Anne M. Wisbey's National Provider Identifier is 1194049254, issued on Mar 18, 2010. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Wallowa, OR. The record was last updated on Mar 18, 2010.