Organization
TREEHOUSE NW INC
Active
Other names
Tree House Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
CLAYTON MCMILLEN (CEO)
(808) 341-2424
Entity
Organization
Contact information
Practice address
4713 N ALBINA AVE, SUITE 301, PORTLAND, OR 97217-2605
(949) 438-2293
Mailing address
234 E 17TH ST, SUITE 209, COSTA MESA, CA 92627-3825
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1246661-99
OR
Other
Enumeration date
09/21/2016
Last updated
10/14/2016
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