Organization
PREMIERE RECOVERY CENTER LLC
Active
Other names
Premiere Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD TODD FLYNN MA (EXECUTIVE DIRECTOR)
(503) 332-4969
Entity
Organization
Contact information
Practice address
14935 SE 82ND DR, CLACKAMAS, OR 97015-9624
(503) 332-4969
Mailing address
2080 NW 160TH AVE, BEAVERTON, OR 97006-7640
(503) 332-4969
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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