Organization · Type 2 NPI
Prime Care Home
Mental Illness Community Based Residential Treatment Facility · Gresham, OR
NPI number
1730057431
Active
Practice location
135 NW Linneman Ave
Gresham, OR 97030-6248
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility Primary | 320800000X | None 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.
2 other providers at this address
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About NPI 1730057431
Prime Care Home's National Provider Identifier is 1730057431, issued on Oct 25, 2025. 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 Nov 13, 2025.