Organization · Type 2 NPI

Pacific Crest Trail Detox LLC

Substance Abuse Rehabilitation Facility · Milwaukie, OR

NPI number 1043760838 Active

Practice location

7708 SE Clackamas Rd
Milwaukie, OR 97267-4405

Mailing address

10600 SE Mcloughlin Blvd, 207
Milwaukie, OR 97222-7428

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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About NPI 1043760838

Pacific Crest Trail Detox LLC's National Provider Identifier is 1043760838, issued on Oct 5, 2016. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Milwaukie, OR. The record was last updated on Oct 5, 2016.