Shangri-La Corporation

NPI #1366796823 in Jefferson, Oregon

Provider Information

NPI Number: 1366796823
Entity Type: Organization
Organization Name: Shangri-La Corporation
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Nov 6, 2012
Last Updated: Aug 10, 2020

Practice Location

Address: 2614 ADAMS LN SE
City: Jefferson
State: Oregon
ZIP Code: 97352-9713
Phone: (541) 327-7982

Authorized Official

Name: ROBIN LENAY WINKLE
Title: DIRECTOR
Phone: (503) 581-1732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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