Organization
GOLDEN SPRINGS RESIDENCIAL TREATMENT HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL K KAMUGA (OWNER/PROVIDER)
(206) 227-5993
Entity
Organization
Contact information
Practice address
80 NW SLERET AVE, GRESHAM, OR 97030-7030
(206) 227-5993
Mailing address
80 NW SLERET AVE, GRESHAM, OR 97030-7030
(206) 227-5993
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2025
Last updated
08/20/2025
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