Individual provider · Type 1 NPI

Jennifer Garcia

Emotionally Disturbed Childrens' Residential Treatment Facility · Portland, OR

NPI number 1760766349 Active

Practice location

9911 SE Mount Scott Blvd
Portland, OR 97266-6302

Call (503) 233-4356 Map

Mailing address

1809 SE Hawthorne Blvd, Apt. A
Portland, OR 97214-3869

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000XNone listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1760766349

Jennifer Garcia's National Provider Identifier is 1760766349, issued on Sep 30, 2011. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Portland, OR. The record was last updated on Sep 30, 2011.