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ADAPT

Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

Provider NPI: 1750373346

Organization Information:
Organization Name:  ADAPT
Organization is not Subpart
Authorized Official:  BRUCE  PIPER  CEO  541-672-2691

Practice Location:
548 SE JACKSON ST  ROSEBURG, OR 97470-4983 US
Tel: 541-672-2691  Fax: 541-673-5642

Business Mailing Address:
PO BOX 1121  ROSEBURG, OR 97470-0254 US
Tel: 541-672-2691  Fax: 541-673-5642

NPI Information:
NPI: 1750373346
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
OR
N101YM0800XBehavioral Health & Social Service Providers
Counselor
OR
Y261Q00000XAmbulatory Health Care Facilities
Clinic/Center
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
OR
N3245S0500XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
OR

Other Provider Identifiers:

IssuerNumberStateType
REGENCE - RESIDENTIAL100394400OR01
218156OR05
REGENCE - OUTPATIENT024030000OR01



American Medical Association 2012 taxonomy code information

Code: 261Q00000X

Type:

Classification:



Definition:



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