COGNITIVE ENRICHMENT CONCEPTS LLC NPI 1588333041

NPI Information

NPI: 1588333041
Provider Name: COGNITIVE ENRICHMENT CONCEPTS LLC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1307 SE 4TH ST
GRESHAM, OR
ZIP 97080
Phone: (503) 964-4335
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COGNITIVE ENRICHMENT CONCEPTS LLC is a community based residential treatment facility mental illness in Gresham, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COGNITIVE ENRICHMENT CONCEPTS LLC NPI is 1588333041. The provider is registered as an organization entity type.

The provider's business location address is:

1307 SE 4TH ST
GRESHAM, OR
ZIP 97080-209
Phone: (503) 964-4335
Fax: (503) 512-7325

The provider's authorized official is Cheryl C Beck .
The authorized official title is Manager and has the following contact phone number (503) 964-4335.

The enumeration date for this NPI number is 9/8/2021 and was last updated on 9/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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