Organization · Type 2 NPI

Modus Vivendi LLC

Community/Behavioral Health Agency · Portland, OR

NPI number 1932436037 Active

Practice location

18428 SE Pine St Ste 105
Portland, OR 97233-4873

Call (503) 781-9065 Map

Fax (503) 665-0160

Mailing address

PO Box 66344
Portland, OR 97290-6344

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	CERIFICATE OF APPROV (OR)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1932436037

Modus Vivendi LLC's National Provider Identifier is 1932436037, issued on Nov 10, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Nov 10, 2009.