| Renaissance Recovery Resources, Inc. | |
|
3793 River Rd N Keizer OR 97303-4827 | |
| (503) 304-4358 | |
| (503) 304-4361 |
| Full Name | Renaissance Recovery Resources, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3793 River Rd N, Keizer, Oregon |
| Authorized Official Name and Position | Justin Scott Nielsen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5033044358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Recovery Resources, Inc. Po Box 20674 Keizer OR 97307-0674 Ph: (503) 304-4358 | Renaissance Recovery Resources, Inc. 3793 River Rd N Keizer OR 97303-4827 Ph: (503) 304-4358 |
| NPI Number | 1639125156 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639125156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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