Organization · Type 2 NPI
Longevity
Community/Behavioral Health Agency · Manzanita, OR
Practice location
123 Laneda Ave
Manzanita, OR 97130
Mailing address
PO Box 1313
Manzanita, OR 97130-1313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | 14374 (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…
Another provider at this address
About NPI 1588930945
Longevity's National Provider Identifier is 1588930945, issued on Mar 29, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Manzanita, OR. The record was last updated on Mar 29, 2012.