Organization · Type 2 NPI
Shangri-La Corporation
Mental Illness Community Based Residential Treatment Facility · Jefferson, OR
NPI number
1366796823
Active
Practice location
2614 Adams Ln SE
Jefferson, OR 97352-9713
Fax (541) 327-7986
Mailing address
4080 Reed Rd SE Ste 150
Salem, OR 97302-1335
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.
About NPI 1366796823
Shangri-La Corporation's National Provider Identifier is 1366796823, issued on Nov 6, 2012. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Jefferson, OR. The record was last updated on Aug 10, 2020.