Organization · Type 2 NPI
Olive Branch Residential Treatment Home
Mental Illness Community Based Residential Treatment Facility · Portland, OR
NPI number
1851200554
Active
Practice location
2817 SE 151st Ave
Portland, OR 97236-2325
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 1851200554
Olive Branch Residential Treatment Home's National Provider Identifier is 1851200554, issued on Sep 7, 2026. 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 Sep 7, 2026.