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LIFE'S INTENTION BACK TO BASICS INC. NPI 1962103176


NPI Information

NPI: 1962103176
Provider Name: LIFE'S INTENTION BACK TO BASICS INC.
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
920 SW FRAZER AVE STE 212
PENDLETON, OR
ZIP 97801
Phone: (541) 969-1941
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LIFE'S INTENTION BACK TO BASICS INC. is a substance abuse treatment and children substance abuse rehabilitation facility in Pendleton, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. LIFE'S INTENTION BACK TO BASICS INC. NPI is 1962103176. The provider is registered as an organization entity type.

The provider's business location address is:

920 SW FRAZER AVE STE 212
PENDLETON, OR
ZIP 97801-802
Phone: (541) 969-1941

The provider's authorized official is Amy Madrigal-bates .
The authorized official title is Owner and has the following contact phone number (541) 969-1941.

The enumeration date for this NPI number is 3/14/2023 and was last updated on 3/14/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251B00000XCase ManagementNo
2324500000XSubstance Abuse Rehabilitation FacilityNo
33245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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: 5/5/2024

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