# STULTS HOUSE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TELECARE MENTAL HEALTH SERVICES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1780043802
- **Legal business name:** TELECARE MENTAL HEALTH SERVICES
- **Authorized official:** AMY LUGO (HR COORDINATOR)
- **Authorized official phone:** (503) 666-6575

## Contact information

- **Practice address:** 805 SE 151ST AVE, PORTLAND, OR 97233-2916
- **Practice address phone:** (971) 271-7270
- **Mailing address:** 805 SE 151ST AVE, PORTLAND, OR 97233-2916
- **Mailing address phone:** (971) 271-7270

## Taxonomy

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

## Other

- **Enumeration date:** 02/17/2016
- **Last updated:** 02/17/2016