Premiere Recovery Center Llc

LBN: Premiere Recovery Center Llc
Premiere Recovery Center Llc is an health care organization with primary practice located at 14935 Se 82Nd Dr , Clackamas OR 97015-9624. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Mental Health, which is considered as the primary health care specialty. Premiere Recovery Center Llc can be contacted via phone (503) 332-4969, or through Flynn, Gerald Todd via phone (503) 332-4969.

Contact Information

Primary practice address
14935 Se 82Nd Dr Clackamas OR 97015-9624
Fax:
Website:
Authorized official contact:
Name: Flynn, Gerald Todd Master of Arts (MA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X

Profile Details

NPI number 1942981493
LBN Legal business name Premiere Recovery Center Llc
DBA Doing business as
Authorized official Flynn, Gerald Todd Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 27th, 2023
Last updated Jul 27th, 2023 - about last year

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.

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