Oregon Recovery Behavioral Health

NPI #1164111472 in Dallas, Oregon

Provider Information

NPI Number
1164111472
Entity Type
Organization
Organization Name
Oregon Recovery Behavioral Health
Subpart
Yes (part of a larger organization)
Parent Organization
RENAISSANCE RECOVERY RESOURCES, INC.
Primary Specialty
Community/Behavioral Health
Enumeration Date
May 3, 2023
Last Updated
Dec 15, 2023

Practice Location

Address
147 SW COURT ST
City
Dallas
State
Oregon
ZIP Code
97338-3112
Phone
(503) 304-4358

Authorized Official

Name
JUSTIN SCOTT NIELSEN, CADC II
Title
EXECUTIVE DIRECTOR
Phone
(503) 304-4358

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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