OrganizationActive
Care Bridge LLC
NPI 1477418853 · Mental Illness Community Based Residential Treatment Facility · Mill City, OR
Provider details
- NPI number
- 1477418853
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Wilson Kisambira, Director(781) 309-8976
Specialties & taxonomies
Residential Treatment Facilities
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
658 Sw Cedar St
Mill City, OR 97360
Phone: (781) 309-8976
Approximate (ZIP-level) locationGet directions
Mailing address
658 Sw Cedar St
Mill City, OR 97360
Registry dates
- Enumerated
- 2025-12-18
- Last updated
- 2025-12-18
- Certified
- 2025-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.