PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER – NPI #1326003773
Substance Abuse Rehabilitation Facility

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.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER is a substance abuse rehabilitation facility located in JEFFERSON, OR. NPPES has assigned the NPI number 1326003773 to PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER on April 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER” is a dba name, the actual legal business name for this organization is RECOVERY ROAD INC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER below.

NPI Profile for
RECOVERY ROAD INC

NPI Number
1326003773
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RECOVERY ROAD INC
Doing Business As (dba): PACIFIC RIDGE RESIDENTIAL ALCOHOL AND DRUG TREATMENT CENTER
Primary location
1587 PACIFIC RIDGE LANE SE
JEFFERSON, OR 97352
Phone: (503) 361-7758 Fax: (503) 581-8292
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DON LANGENBERG
EXECUTIVE DIRECTOR
Phone: (503) 361-7758
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.