Organization
RENAISSANCE RECOVERY RESOURCES, INC.
Active
Other names
Oregon Recovery Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SCOTT NIELSEN CADC II (EXECUTIVE DIRECTOR)
(503) 304-4358
Entity
Organization
Contact information
Practice address
3793 RIVER RD N, KEIZER, OR 97303-4827
(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
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2006
Last updated
12/11/2023
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