Organization · Type 2 NPI
Sanctuary Agency LLC
Mental Illness Community Based Residential Treatment Facility · Beaverton, OR
NPI number
1811738487
Active
Practice location
3815 SW 102nd Ave
Beaverton, OR 97005-3245
Mailing address
1883 NW Ravenwood Dr
Albany, OR 97321-1156
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.
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About NPI 1811738487
Sanctuary Agency LLC's National Provider Identifier is 1811738487, issued on Jun 5, 2024. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Beaverton, OR. The record was last updated on Jun 5, 2024.