De Paul Treatment Centers, Inc.
LBN: Fora Health Inc.
De Paul Treatment Centers, Inc. is an health care organization with primary practice located at 10230 Se Cherry Blossom Dr , Portland OR 97216. The organization recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Residential Treatment Facilities / Substance Abuse Treatment, Children. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
Fora Health Inc. can be contacted via phone (503) 535-1150, or through Johnson, Mallory Juanita-Ann via phone (503) 535-1156.
Contact Information
Primary practice address
10230 Se Cherry Blossom Dr
Portland OR 97216
Phone: (503) 535-1150
Fax: (503) 535-1190
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon | |
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Oregon | |
Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | Oregon | |
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | Oregon | |
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | Oregon | |
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | Oregon | |
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | Oregon | |
Residential Treatment Facilities / Substance Abuse Treatment, Children | 3245S0500X | Oregon |
Profile Details
NPI number | 1245378546 |
---|---|
LBN Legal business name | Fora Health Inc. |
DBA Doing business as | De Paul Treatment Centers, Inc. |
Authorized official | Johnson, Mallory Juanita-Ann |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Feb 1st, 2007 |
Last updated | Jul 27th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245378546 | NPPES |
Oregon | MEDICAID | 299811 |
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