De Paul Treatment Center

NPI #1417277021 in Portland, Oregon

Provider Information

NPI Number: 1417277021
Entity Type: Organization
Organization Name: De Paul Treatment Center
Primary Specialty: Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date: Jun 4, 2010
Last Updated: Jun 4, 2010

Practice Location

Address: 4310 NE KILLINGSWORTH ST
City: Portland
State: Oregon
ZIP Code: 97218-1404
Phone: (503) 535-1150

Authorized Official

Name: SHABD KHALSA, B.A. PSYCHOLOGY
Title: ADMISSIONS COUNSELOR
Phone: (503) 535-1150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children	3245S0500X	Primary

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Organizations

Provider Name	Specialty	City
Depaul Treatment Center	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive
Depaul Treatment Center	Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children	Portland	AI Deep Dive

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