Organization · Type 2 NPI

Path Light Agency LLC

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1801637756 Active

Practice location

526 SE 128th Ave
Portland, OR 97233-1602

Call (503) 810-7879 Map

Fax (971) 339-3946

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.

Another provider at this address

Other mental illness community based residential treatment facility providers in Portland

See all in Portland →

About NPI 1801637756

Path Light Agency LLC's National Provider Identifier is 1801637756, issued on Jun 4, 2024. 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 Jul 30, 2024.