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CENTRAL CITY CONCERN NPI 1609084904


NPI Information

NPI: 1609084904
Provider Name: CENTRAL CITY CONCERN

Other Name: HOOPER DETOXIFICATION & STABILIZATION CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1535 N WILLIAMS AVE
PORTLAND, OR
ZIP 97227
Phone: (503) 238-2067
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CENTRAL CITY CONCERN is a substance abuse rehabilitation facility in Portland, OR. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. CENTRAL CITY CONCERN NPI is 1609084904. The provider is registered as an organization entity type.
The provider Other Name Is Hooper Detoxification & Stabilization Center.

The provider's business location address is:

1535 N WILLIAMS AVE
PORTLAND, OR
ZIP 97227-885
Phone: (503) 238-2067
Fax: (503) 238-2004

The provider's authorized official is Andrew Mendenhall .
The authorized official title is President & Ceo and has the following contact phone number (503) 294-1681.

The enumeration date for this NPI number is 5/18/2007 and was last updated on 3/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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