Organization · Type 2 NPI

Choices Domestic Violence Intervention Program, LLC

Community/Behavioral Health Agency · Portland, OR

NPI number 1063744175 Active

Practice location

9828 E Burnside St Ste 210
Portland, OR 97216-2364

Call (503) 293-7597 Map

Fax (503) 232-4446

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1063744175

Choices Domestic Violence Intervention Program, LLC's National Provider Identifier is 1063744175, issued on Feb 1, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2010.