TRILLIUM FAMILY SERVICES NPI 1104026376

NPI Information

NPI: 1104026376
Provider Name: TRILLIUM FAMILY SERVICES
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
792 SE MAYBERRY AVE
CORVALLIS, OR
ZIP 97333
Phone: (503) 780-8811
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TRILLIUM FAMILY SERVICES is a community based residential treatment facility mental illness in Corvallis, OR. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. TRILLIUM FAMILY SERVICES NPI is 1104026376. The provider is registered as an organization entity type.

The provider's business location address is:

792 SE MAYBERRY AVE
CORVALLIS, OR
ZIP 97333-862
Phone: (503) 780-8811

The provider's authorized official is Todd Byerly .
The authorized official title is Supervisor and has the following contact phone number (541) 990-4958.

The enumeration date for this NPI number is 7/24/2007 and was last updated on 7/24/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness			OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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