Organization
B2 COMMUNITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAIR GOLDSTEIN (EXECUTIVE DIRECTOR)
(503) 746-3171
Entity
Organization
Contact information
Practice address
938 MISTLETOE LOOP N, KEIZER, OR 97303-4307
(503) 991-5533
(503) 991-5533
Mailing address
2270 NE MCDANIEL LN, MCMINNVILLE, OR 97128-3247
(971) 716-0720
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DZ1248
—
OR
Enumeration date
04/18/2024
Last updated
04/18/2024
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