Organization · Type 2 NPI

The Inn, Home for Boys

Emotionally Disturbed Childrens' Residential Treatment Facility · Portland, OR

NPI number 1306288071 Active

Practice location

8940 SE 72nd Ave
Portland, OR 97206-9417

Mailing address

5605 E Burnside St
Portland, OR 97215-1499

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 1306288071

The Inn, Home for Boys's National Provider Identifier is 1306288071, issued on Jul 23, 2013. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Portland, OR. The record was last updated on Jul 23, 2013.