# TRILLIUM

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

## Provider details

- **NPI number:** 1316123326
- **Authorized official:** MR. JOSHUA LENNON SWEENEY (CATS1)
- **Authorized official phone:** (541) 758-5944

## Contact information

- **Practice address:** 4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
- **Practice address phone:** (541) 758-5944
- **Mailing address:** 4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
- **Mailing address phone:** (541) 758-5944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2008
- **Last updated:** 01/21/2008