Taxonomy Code 3245S0500X(3245s0500x)
Children's Substance Abuse Rehabilitation Facility. Providers: 7
Children's Substance Abuse Rehabilitation Facility Providers
| NPI | Name | Type | Address |
|---|---|---|---|
|
MS. Gail Renee Wilson |
Individual |
2614 Se 115th Ave Apt 2 Portland, OR |
|
|
Depaul Treatment Center |
Organization |
4310 Ne Killingsworth St Portland, OR |
|
|
Depaul Youth And Family |
Organization |
4310 Ne Killingsworth St Portland, OR |
|
|
MISS Kelsey Corrine Coffey |
Individual |
1500 Ne Irving St Suite 250 Portland, OR |
|
|
De Paul Treatment Center |
Organization |
4310 Ne Killingsworth St Portland, OR |
|
|
Depaul Treatment Center |
Organization |
4310 Ne Killingsworth St Portland, OR |
|
|
BS Richard Ivan Vaughan |
Individual |
4310 Ne Killingsworth St Portland, OR |
How to obtain, renew, or terminate an NPI
Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...
| Taxonomy Code | 3245S0500X |
| Specialization | Substance Abuse Treatment, Children |
| Display Name | Children's Substance Abuse Rehabilitation Facility |
| Taxonomy Group | Residential Treatment Facilities |
| Taxonomy Classification | Substance Abuse Rehabilitation Facility |
| Definition | A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. |
| Effective Date | September 30, 2009 |