Organization
4D TREATMENT 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 CRAPSER PHD, LPC, LMHC (CLINICAL DIRECTOR)
(971) 442-0044
Entity
Organization
Contact information
Practice address
11010 SE DIVISION ST STE 200, PORTLAND, OR 97266-6400
(971) 703-4623
Mailing address
11010 SE DIVISION ST STE 200, PORTLAND, OR 97266-6400
(971) 703-4623
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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