NPI | 1245378546 |
---|---|
Former Legal Business Name | DE PAUL TREATMENT CENTERS, INC. |
Entity Type | Organization |
Authorized Contact | MALLORY JUANITA-ANN JOHNSON Contract Coordinator 503-535-1156 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
Enumeration Date | 2007-02-01 |
Last Update Date | 2022-07-27 |