Organization Name: | SISTERE INC. |
NPI Number: | 1023243508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHANNAN MAYS (ADMINISTRATER) |
Mailing Address: | 1610 W Powell Blvd Gresham |
State: | OR US |
Postal Code: | 970306843 |
Phone Number: | 5036655193 |
Fax Number: | 5036658454 |
NPI Enumeration Date: | 05/27/2009 |
NPI Last Update Date: | 02/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320800000X |
License Number: | 320800000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |