Individual provider · Type 1 NPI
Gail Renee Wilson
Children's Substance Abuse Rehabilitation Facility · Portland, OR
Practice location
2614 SE 115th Ave Apt 2
Portland, OR 97266-1176
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Children's Substance Abuse Rehabilitation Facility Primary | 3245S0500X | 3245S0500X (OR) |
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.
Other children's substance abuse rehabilitation facility providers in Portland
About NPI 1821205246
Gail Renee Wilson's National Provider Identifier is 1821205246, issued on May 16, 2007. 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 Jul 8, 2007.