Golden Springs Residencial Treatment Home LLC

NPI #1336026269 in Gresham, Oregon

Provider Information

NPI Number: 1336026269
Entity Type: Organization
Organization Name: Golden Springs Residencial Treatment Home LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 20, 2025
Last Updated: Aug 20, 2025

Practice Location

Address: 80 NW SLERET AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7030
Phone: (206) 227-5993

Authorized Official

Name: SAMUEL K KAMUGA
Title: OWNER/PROVIDER
Phone: (206) 227-5993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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