OrganizationActive
Cgcg II, Inc
NPI 1205788502 · Mental Illness Community Based Residential Treatment Facility · Salem, OR
Provider details
- NPI number
- 1205788502
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bryan Carroll, President(503) 701-7931
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 14th St Se
Salem, OR 97301-6311
Phone: (503) 508-9735
Street-level locationGet directions
Mailing address
12955 Sw Oxalis Ter
Tigard, OR 97223-5656
Registry dates
- Enumerated
- 2026-02-10
- Last updated
- 2026-02-10
- Certified
- 2026-02-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.