Organization · Type 2 NPI

Life's Intention Back To Basics Inc.

Children's Substance Abuse Rehabilitation Facility · Pendleton, OR

NPI number 1962103176 Active

Practice location

920 SW Frazer Ave Ste 212
Pendleton, OR 97801-2802

Specialties and licenses

TaxonomyCodeLicense
Case Management Agency 251B00000XNone listed
Substance Abuse Rehabilitation Facility 324500000XNone listed
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 1962103176

Life's Intention Back To Basics Inc.'s National Provider Identifier is 1962103176, issued on Mar 14, 2023. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Pendleton, OR. The record was last updated on Mar 14, 2023.