Organization · Type 2 NPI

Lukedorf

Mental Illness Community Based Residential Treatment Facility · Gresham, OR

NPI number 1710271861 Active

Practice location

360 SW 6th St
Gresham, OR 97080-9475

Call (503) 726-3806 Map

Mailing address

10313 69th Ave
Tigard, OR 97223

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.

11 other providers at this address

Other mental illness community based residential treatment facility providers in Gresham

See all in Gresham →

About NPI 1710271861

Lukedorf's National Provider Identifier is 1710271861, issued on Jun 7, 2011. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gresham, OR. The record was last updated on Jun 7, 2011.