Organization
EQUANIMITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA PTAK (OWNER)
(815) 814-8529
Entity
Organization
Contact information
Practice address
4743 CENTER ST NE, SALEM, OR 97301-2573
(815) 814-8529
Mailing address
5 SE MARTIN LUTHER KING JR BLVD APT 1204, PORTLAND, OR 97214-1194
(815) 814-8529
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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