Stoneybrooke Residential Services, LLC

NPI #1164979191 in Gresham, Oregon

Provider Information

NPI Number: 1164979191
Entity Type: Organization
Organization Name: Stoneybrooke Residential Services, LLC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 25500 SE STARK ST
Address 2: SUITE 101
City: Gresham
State: Oregon
ZIP Code: 97030-3331
Phone: (503) 669-7191

Authorized Official

Name: VALERIE STONEY
Title: ASSISTANT DIRECTOR
Phone: (503) 669-7191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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