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

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000X300024 (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.

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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.