Ms. Gail Renee Wilson - Portland, OR

Ms. Gail Renee Wilson

Children's Substance Abuse Rehabilitation Facility in Portland, Oregon

NPI 1821205246

Gail Renee Wilson is a Children's Substance Abuse Rehabilitation Facility based in Portland, OR and is specialized in Substance Abuse Treatment, Children. Gail Renee Wilson practices in Portland, OR. The NPI Number for Gail Renee Wilson is 1821205246 and holds a License No. 3245S0500X (Oregon).

The current practice location address for Gail Renee Wilson is 2614 Se 115Th Ave Apt 2, Portland, OR and can be reached out via phone at 503-757-4245.

Location: 2614 Se 115Th Ave Apt 2, Portland, OR, 97266-1176

NPI Number

1821205246

Provider Name

Gail Renee Wilson

Credential

Provider Entity Type

Individual

Gender

Female

Address

2614 Se 115Th Ave Apt 2, Portland, OR, 97266-1176

Phone Number

503-757-4245

Fax Number

Provider Enumeration Date

05/16/2007

Last Update Date

03/09/2024

Address

2614 Se 115Th Ave Apt 2

City

Portland

State

Oregon

Zip

97266-1176

Phone Number

503-757-4245

Fax Number

Address

2614 Se 115Th Ave Apt 2

City

Portland

State

Oregon

Zip

97266-1176

Phone Number

503-757-4245

Fax Number

Type

Residential Treatment Facilities

Classification

Substance Abuse Rehabilitation Facility

Speciality

Substance Abuse Treatment, Children

Taxonomy

3245S0500X

License No.

3245S0500X (Oregon)

Definition

A facility or distinct part of a facility 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.

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