Organization · Type 2 NPI

Janus Youth Program

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1679983381 Active

Practice location

142 SE 160th Ave Apt 24
Portland, OR 97233-3558

Call (503) 841-4393 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 1679983381

Janus Youth Program's National Provider Identifier is 1679983381, issued on May 2, 2014. 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 May 2, 2014.