# THE INN, HOME FOR BOYS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Inn
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306288071
- **Authorized official:** THOMAS J MITCHELL (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (503) 234-8757

## Contact information

- **Practice address:** 8940 SE 72ND AVE, PORTLAND, OR 97206-9417
- **Practice address phone:** (503) 777-6317
- **Mailing address:** 5605 E BURNSIDE ST, PORTLAND, OR 97215-1499
- **Mailing address phone:** (503) 234-8757
- **Mailing address fax:** (503) 234-8758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | OR | Yes |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013