Organization
CHRISTIAN APOSTOLIC COMMUNITY HOUSE
Active
Organization
CHRISTIAN APOSTOLIC COMMUNITY HOUSE
Active
Other names
CACH Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISCHELLE RENEE PLUNKETT CRM, TRAD.HEALTH WKR (OWN/FOUNDER/MENTOR)
(971) 282-6049
Entity
Organization
Contact information
Practice address
13232 SE STARK ST, SUITE 4, PORTLAND, OR 97233-1573
(971) 282-6049
Mailing address
13232 SE STARK ST, SUITE 4, PORTLAND, OR 97233-1573
(971) 282-6049
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
THW0298
OR
251S00000X
Community/Behavioral Health Agency
Primary
15-CRM-136
OR
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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