Organization
STONEYBROOKE RESIDENTIAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE STONEY (ASSISTANT DIRECTOR)
(503) 669-7191
Entity
Organization
Contact information
Practice address
25500 SE STARK ST, SUITE 101, GRESHAM, OR 97030-3331
(503) 669-7191
(503) 669-7102
Mailing address
25500 SE STARK ST, SUITE 101, GRESHAM, OR 97030-3331
(503) 669-7191
(503) 669-7102
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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