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Organization

IMPERIAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABEH NJERU GIBBONS (DIRECTOR)
(978) 407-1386
Entity
Organization

Contact information

Practice address
20105 SW IMPERIAL ST, ALOHA, OR 97003-2110
(781) 309-8976
Mailing address
20105 SW IMPERIAL ST, ALOHA, OR 97003-2110
(781) 309-8976

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/15/2025
Last updated
12/15/2025
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