Organization · Type 2 NPI

205 Yacob Rth, LLC

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1659282853 Active

Practice location

9350 SE Taylor St
Portland, OR 97216-2126

Call (503) 830-7800 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Illness Community Based Residential Treatment Facility Primary 320800000XNone 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 1659282853

205 Yacob Rth, LLC's National Provider Identifier is 1659282853, issued on Sep 15, 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 Sep 15, 2026.