# NORTHVALE BEHAVIORAL HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093647844
- **Authorized official:** ANDREW WAKIRIA (DIRECTOR)
- **Authorized official phone:** (781) 309-8976

## Contact information

- **Practice address:** 9015 SW 19TH AVE, PORTLAND, OR 97219-4122
- **Practice address phone:** (781) 309-8976
- **Mailing address:** 9015 SW 19TH AVE, PORTLAND, OR 97219-4122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/03/2026
- **Last updated:** 06/03/2026