Organization
OREGON RECOVERY BEHAVIORAL HEALTH
Active
Parent organization
RENAISSANCE RECOVERY RESOURCES, INC.
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
1184 MCGEE CT NE STE 200, KEIZER, OR 97303-9443
(503) 304-4358
(503) 304-4361
Mailing address
PO BOX 20674, KEIZER, OR 97307-0674
(503) 304-4358
(503) 304-4361
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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