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Revamp Creative, Llc
Mental Illness Community Based Residential Treatment Facility in Portland, Oregon
NPI 1306523568

Revamp Creative, Llc is a Mental Illness Community Based Residential Treatment Facility based in Portland, OR. Revamp Creative, Llc practices in Portland, OR. The NPI Number for Revamp Creative, Llc is 1306523568 and holds a License No. (Oregon).

The current practice location address for Revamp Creative, Llc is 63 Ne Thompson St, Portland, OR and can be reached out via phone at 503-929-7750. You can also correspond with Revamp Creative, Llc through the mailing address at 63 NE THOMPSON ST, PORTLAND, OR - 97212-3741 (mailing address contact number: 503-929-7750).

Location: 63 Ne Thompson St, Portland, OR, 97212-3741
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306523568
Provider Name
Revamp Creative, Llc
Credential
Provider Entity Type
Organization
Address
63 Ne Thompson St, Portland, OR, 97212-3741
Phone Number
503-929-7750
Fax Number
Provider Enumeration Date
06/29/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
63 Ne Thompson St
City
Portland
State
Oregon
Zip
97212-3741
Phone Number
503-929-7750
Fax Number
person
Provider Business Mailing Address Details
Address
63 Ne Thompson St
City
Portland
State
Oregon
Zip
97212-3741
Phone Number
503-929-7750
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Case Management
Speciality
-
Taxonomy
251B00000X
License No.
()
Definition
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 6
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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