Organization
TRANSFORMATIVE JUSTICE COMMUNITY
Active
Parent organization
TRANSFORMATIVE JUSTICE COMMUNITY
Other names
Regroup Treatment Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRANSFORMATIVE JUSTICE COMMUNITY
Authorized official
MR. CAMERON RICHARD TYLER HAYES CADC-I, CRM-II (DIRECTOR)
(808) 773-2991
Entity
Organization
Contact information
Practice address
5932 NE GLISAN ST STE F, PORTLAND, OR 97213-3754
(808) 773-2991
Mailing address
5932 NE GLISAN ST STE F, PORTLAND, OR 97213-3754
(808) 773-2991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/14/2025
Last updated
02/15/2025
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