Organization · Type 2 NPI

Depaul Treatment Center

Children's Substance Abuse Rehabilitation Facility · Portland, OR

NPI number 1689924722 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1689924722

Depaul Treatment Center's National Provider Identifier is 1689924722, issued on Sep 17, 2012. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Portland, OR. The record was last updated on Sep 17, 2012.