Organization
COGNITIVE ENRICHMENT CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL C BECK (MANAGER)
(503) 964-4335
Entity
Organization
Contact information
Practice address
1307 SE 4TH ST, GRESHAM, OR 97080-1209
(503) 964-4335
(503) 512-7325
Mailing address
1307 SE 4TH ST, GRESHAM, OR 97080-1209
(503) 964-4335
(503) 512-7325
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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