Organization · Type 2 NPI

Ty Residential Wellness LLC

Mental Illness Community Based Residential Treatment Facility · Gresham, OR

NPI number 1952223729 Active

Practice location

1211 SE 212th Ave
Gresham, OR 97030-3452

Call (503) 841-0801 Map

Mailing address

15577 SE Bollam Dr
Clackamas, OR 97015-6653

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 1952223729

Ty Residential Wellness LLC's National Provider Identifier is 1952223729, issued on Jul 27, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Gresham, OR. The record was last updated on Jul 27, 2026.