| NPI | 1952112187 |
|---|---|
| Doing Business As | TRADE STREET ADULT FOSTER HOME |
| Entity Type | Organization |
| Authorized Contact | BRANDY LEIGH BELL Provider 971-408-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |