Organization
4D TREATMENT MENTOR SERVICES
Active
Parent organization
4TH DIMENSION RECOVERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
4TH DIMENSION RECOVERY CENTER
Authorized official
DR. NICHOLAS MATHIAS THOMAS CRAPSER PHD, LPC, LMHC (CLINICAL DIRECTOR)
(971) 422-0044
Entity
Organization
Contact information
Practice address
11010 SE DIVISION ST STE 200, PORTLAND, OR 97266-6400
(971) 422-0044
Mailing address
11010 SE DIVISION ST STE 200, PORTLAND, OR 97266-6400
(971) 422-0044
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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