Cognitive Enrichment Concepts LLC

NPI #1588333041 in Gresham, Oregon

Provider Information

NPI Number: 1588333041
Entity Type: Organization
Organization Name: Cognitive Enrichment Concepts LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Sep 8, 2021
Last Updated: Sep 8, 2021

Practice Location

Address: 1307 SE 4TH ST
City: Gresham
State: Oregon
ZIP Code: 97080-1209
Phone: (503) 964-4335

Authorized Official

Name: MS. CHERYL C BECK
Title: MANAGER
Phone: (503) 964-4335

Specialties & Taxonomy Codes

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

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