Organization
RAINBOW FAMILY SERVICES
Active
Parent organization
CATHOLIC COMMUNITY SERVICES
Other names
Catholic Community Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
CATHOLIC COMMUNITY SERVICES
Authorized official
MR. JIM SEYMOUR (EXECUTIVE DIRECTOR)
(503) 390-2600
Entity
Organization
Contact information
Practice address
800 NE 2ND ST, MCMINNVILLE, OR 97128-4408
(503) 472-2240
(503) 390-8629
Mailing address
PO BOX 20400, KEIZER, OR 97307-0400
(503) 390-2600
(503) 390-8629
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
LETTER OF APPROVAL
OR
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
LETTER OF APPROVAL
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230442
PROVIDER NUMBER
OR
01
—
261545
PROVIDER NUMBER
OR
Enumeration date
03/20/2007
Last updated
05/14/2009
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