Organization · Type 2 NPI
FDS Alliance Residential LLC
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1407707805
Active
Practice location
380 NE 178th Ave
Portland, OR 97230-6658
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.
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About NPI 1407707805
FDS Alliance Residential LLC's National Provider Identifier is 1407707805, issued on Feb 3, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Portland, OR. The record was last updated on Feb 3, 2026.