Organization · Type 2 NPI
Clay Street Haven LLC
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1235069030
Active
Practice location
18139 SE Clay St
Portland, OR 97233-5168
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 1235069030
Clay Street Haven LLC's National Provider Identifier is 1235069030, issued on May 22, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on May 22, 2026.