| Doctor Name: | JOYCE BAILEY |
| NPI Number: | 1235506171 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | QMHA |
| License Number: | 174378371 |
| Business Practice Address: | 4101 Ne Division St Gresham, OR - 970304617 |
| Business Phone Number: | 5036666575 |
| Business Fax Number: | |
| Mailing Address: | 3443 Ne 15th St, GRESHAM |
| State: | OR |
| Postal Code: | 970304503 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2015 |
| NPI Last Update Date: | 08/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 320800000X |
| License Number: | 174378371 |
| 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. |