Ms. Thelissa D Casley - Portland, OR

Ms. Thelissa D Casley

Emotionally Disturbed Childrens' Residential Treatment Facility in Portland, Oregon

NPI 1669666061

Thelissa D Casley is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Portland, OR. Thelissa D Casley practices in Portland, OR. The NPI Number for Thelissa D Casley is 1669666061 and holds a License No. (Oregon).

The current practice location address for Thelissa D Casley is 4818 Ne 101St Ave, Portland, OR and can be reached out via phone at 503-758-4887.

Location: 4818 Ne 101St Ave, Portland, OR, 97220-3319

NPI Number

1669666061

Provider Name

Thelissa D Casley

Credential

Provider Entity Type

Individual

Gender

Female

Address

4818 Ne 101St Ave, Portland, OR, 97220-3319

Phone Number

503-758-4887

Fax Number

Provider Enumeration Date

08/29/2007

Last Update Date

03/09/2024

Address

4818 Ne 101St Ave

City

Portland

State

Oregon

Zip

97220-3319

Phone Number

503-758-4887

Fax Number

Address

4818 Ne 101St Ave

City

Portland

State

Oregon

Zip

97220-3319

Phone Number

503-758-4887

Fax Number

Type

Residential Treatment Facilities

Classification

Residential Treatment Facility, Emotionally Disturbed Children

Speciality

Taxonomy

322D00000X

License No.

(Oregon)

Definition

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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