Whalio Doctors

NPI 1063074359

Renaissance Recovery Resources, INC.

Organisation Substance Abuse Rehabilitation Facility Keizer, OR

Practice location

Address
1184 McGee CT NE STE 200, Keizer, OR 97303-9443
Phone
(503) 304-4358
Fax
(503) 304-4361
Mailing address
PO Box 20674, Keizer, OR 97307-0674

Authorised official

Name
Justin Scott Nielsen
Title
Executive Director
Phone
(503) 304-4358

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1063074359
Entity type
Organization
NPI issued
8 Jul 2019
Record last updated
8 Jul 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.