Organization
OREGON RECOVERY BEHAVIORAL HEALTH
Active
Parent organization
RENAISSANCE RECOVERY RESOURCES, INC.
Other names
Oregon Recovery Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAISSANCE RECOVERY RESOURCES, INC.
Authorized official
JUSTIN SCOTT NIELSEN CADC II (EXECUTIVE DIRECTOR)
(503) 304-4358
Entity
Organization
Contact information
Practice address
147 SW COURT ST, DALLAS, OR 97338-3112
(503) 304-4358
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
(503) 304-4358
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
12/15/2023
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