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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