Individual provider · Type 1 NPI
Susan D. Fordice
Mental Illness Community Based Residential Treatment Facility · Pendleton, OR
NPI number
1487081394
Active
Practice location
2013 SW Olson Ave
Pendleton, OR 97801-4421
Mailing address
2013 SW Olson
Pendleton, OR 97801
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 1487081394
Susan D. Fordice's National Provider Identifier is 1487081394, issued on Oct 9, 2013. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Pendleton, OR. The record was last updated on Oct 9, 2013.