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Organization
HOLISTIC HEALING BEHAVIORAL HEALTHCARE
Active
Organization
HOLISTIC HEALING BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMAICA NIZSHA IMANI-NELSON MSW,CADC III, CSWA (CEO)
(503) 933-0491
Entity
Organization
Contact information
Practice address
5257 NE MARTIN LUTHER KING BLVD STE 201, PORTLAND, OR 97211-3283
(503) 933-0491
Mailing address
6941 N ROBERTS AVE, PORTLAND, OR 97203-6361
(503) 933-0491
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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