Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Family Residential Treatment Home

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1972452159

Family Residential Treatment Home is a Mental Illness Community Based Residential Treatment Facility in Salem, Oregon. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4436 Jade St NE
Salem, OR 97305-2233
Phone: (971) 258-6432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1972452159
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Dixon — Administrator · (971) 719-3141
NPI enumeratedJanuary 22, 2026
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address4436 Jade St Ne, Salem, OR 97305-2233

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