institution
Christina Ellis Dba: Paradise Adult Foster Care Home
Mental Illness Community Based Residential Treatment Facility in Portland, Oregon
NPI 1720349251

Christina Ellis Dba: Paradise Adult Foster Care Home is a Mental Illness Community Based Residential Treatment Facility based in Portland, OR. Christina Ellis Dba: Paradise Adult Foster Care Home practices in Portland, OR. The NPI Number for Christina Ellis Dba: Paradise Adult Foster Care Home is 1720349251 and holds a License No. 10714 (Oregon).

The current practice location address for Christina Ellis Dba: Paradise Adult Foster Care Home is 1356 Se 172Nd Ave, Portland, OR and can be reached out via phone at 503-760-8052 and via fax at 503-760-8052.

Location: 1356 Se 172Nd Ave, Portland, OR, 97233-4702
institution
Provider Profile Details
NPI Number
1720349251
Provider Name
Christina Ellis Dba: Paradise Adult Foster Care Home
Credential
Provider Entity Type
Organization
Address
1356 Se 172Nd Ave, Portland, OR, 97233-4702
Phone Number
503-760-8052
Fax Number
503-760-8052
Provider Enumeration Date
05/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1356 Se 172Nd Ave
City
State
Zip
97233-4702
Phone Number
503-760-8052
Fax Number
503-760-8052
person
Provider Business Mailing Address Details
Address
1356 Se 172Nd Ave
City
State
Zip
97233-4702
Phone Number
503-760-8052
Fax Number
503-760-8052
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
License No.
10714 (Oregon)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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