Renaissance Recovery Resources, INC.
Community/Behavioral Health in Salem, OR. Organization (NPI-2).
NPI number1982017992
StatusActive
Last updated in NPPESDec 15, 2023
Details
- NPI
- 1982017992
- Entity type
- Organization (NPI-2)
- Legal business name
- Renaissance Recovery Resources, INC.
- Organization subpart
- Yes
- Enumeration date
- Jun 6, 2014
- Certification date
- Dec 15, 2023
- Last updated
- Dec 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Oregon Recovery Behavioral Health (Doing Business As)
Practice location
465 Commercial St Ne Ste 150Salem, OR 97301-3414
Phone 503-362-2780 · Fax 503-362-2768
Mailing address
Po Box 20674Keizer, OR 97307-0674
Phone 503-304-4358 · Fax 503-304-4361
Authorized official
Justin Scott Nielsen
Executive Director
5033044358
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