OrganizationActive
Life'S Intention Back to Basics Inc.
NPI 1962103176 · Children's Substance Abuse Rehabilitation Facility · Pendleton, OR
Provider details
- NPI number
- 1962103176
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Amy Madrigal-Bates, Owner(541) 969-1941
Specialties & taxonomies
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
920 Sw Frazer Ave Ste 212
Pendleton, OR 97801-2802
Phone: (541) 969-1941
Approximate (ZIP-level) locationGet directions
Mailing address
920 Sw Frazer Ave Ste 212
Pendleton, OR 97801-2802
Other names (DBA / former)
- Doing business as
- Life'S Intention Back to Basics Inc.
Registry dates
- Enumerated
- 2023-03-14
- Last updated
- 2023-03-14
- Certified
- 2023-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.