Individual provider · Type 1 NPI

Florence Mutie

Mental Illness Community Based Residential Treatment Facility · Portland, OR

NPI number 1821491853 Active

Practice location

5123 SW 62nd Ave
Portland, OR 97221-1170

Call (503) 453-2290 Map

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.

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About NPI 1821491853

Florence Mutie's National Provider Identifier is 1821491853, issued on Oct 5, 2014. 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 Oct 5, 2014.