Organization
IMANI RESIDENTIAL TREATMENT HOME
Active
Organization
IMANI RESIDENTIAL TREATMENT HOME
Active
Parent organization
IMANI MENTAL HEALTH AND WELLNESS LLC
Other names
IMANI RESIDENTIAL TREATMENT HOME
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMANI MENTAL HEALTH AND WELLNESS LLC
Authorized official
MS. SUSAN MBUGUA PMHNP-BC (ADMINSTRATOR)
(214) 458-1713
Entity
Organization
Contact information
Practice address
14325 SW WILSON DR, BEAVERTON, OR 97008-6140
(971) 357-1234
Mailing address
14325 SW WILSON DR, BEAVERTON, OR 97008-6140
(971) 357-1234
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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