Organization · Type 2 NPI
Pioneer Guest Home Ii, Inc
Mental Illness Community Based Residential Treatment Facility · Enterprise, OR
NPI number
1235577115
Active
Practice location
101 E Main St
Enterprise, OR 97828-1381
Fax (541) 426-6550
Mailing address
PO Box 326
Enterprise, OR 97828-0326
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | 300024 (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.
2 other providers at this address
Other mental illness community based residential treatment facility providers in Enterprise
About NPI 1235577115
Pioneer Guest Home Ii, Inc's National Provider Identifier is 1235577115, issued on Jun 12, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Enterprise, OR. The record was last updated on Jun 12, 2013.