CGCG II, INC – NPI #1205788502
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CGCG II, INC is a community based residential treatment facility located in SALEM, OR. NPPES has assigned the NPI number 1205788502 to CGCG II, INC on February 10, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CGCG II, INC below.

NPI Profile for
CGCG II, INC

NPI Number
1205788502
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CGCG II, INC
Primary location
300 14TH ST SE
SALEM, OR 97301-6311
Phone: (503) 508-9735 Fax:
Mailing address
12955 SW OXALIS TER
TIGARD, OR 97223-5656
Phone: Fax:
Organization Subpart
No
Authorized Official
BRYAN CARROLL
PRESIDENT
Phone: (503) 701-7931
Updated
Certification Date
Feb 10, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.