Organization · Type 2 NPI

George I. Hannibal

Community/Behavioral Health Agency · Portland, OR

NPI number 1578847737 Active

Practice location

1419 NE 69th Ave
Portland, OR 97213-5301

Fax (503) 525-2846

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	L525 (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

3 other providers at this address

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About NPI 1578847737

George I. Hannibal's National Provider Identifier is 1578847737, issued on Oct 6, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2011.