Individual provider · Type 1 NPI

Xavier Ricardo Chavez Ibabao

Emotionally Disturbed Childrens' Residential Treatment Facility · Hillsboro, OR

NPI number 1285458612 Active

Practice location

244 W Main St
Hillsboro, OR 97123-3961

Call (503) 846-8766 Map

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1285458612

Xavier Ricardo Chavez Ibabao's National Provider Identifier is 1285458612, issued on Nov 12, 2024. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Hillsboro, OR. The record was last updated on Nov 12, 2024.