Organization · Type 2 NPI
Nibbus Combined Care LLC
Mental Illness Community Based Residential Treatment Facility · Phoenix, OR
NPI number
1407654122
Active
Practice location
809 Amerman Dr
Phoenix, OR 97535-7729
Mailing address
1175 E Main St Ste 2F
Medford, OR 97504-7457
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.
Another provider at this address
Other mental illness community based residential treatment facility providers in Phoenix
About NPI 1407654122
Nibbus Combined Care LLC's National Provider Identifier is 1407654122, issued on Mar 6, 2025. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Phoenix, OR. The record was last updated on Mar 6, 2025.