Organization · Type 2 NPI

Potentials, LLC

Community/Behavioral Health Agency · Astoria, OR

NPI number 1710173802 Active

Practice location

100 39th St Pier 39
Astoria, OR 97103-2499

Fax (503) 325-5932

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XC1489 (OR)

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 1710173802

Potentials, LLC's National Provider Identifier is 1710173802, issued on Sep 21, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Astoria, OR. The record was last updated on Sep 21, 2007.