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ADAPT

Addiction Substance Use Disorder

Roseburg, Oregon

Provider NPI: 1750373346

Organization Information:
Organization Name:  ADAPT
Organization is not Subpart
Authorized Official:  BRUCE  PIPER  CEO  541-6722691

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

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

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
N324500000XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
OR
N3245S0500XResidential Treatment Facilities
Substance Abuse Rehabilitation Facility
OR
Y261Q00000XAmbulatory Health Care Facilities
Clinic/Center

Other Provider Identifiers:

IssuerNumberStateType
REGENCE - RESIDENTIAL100394400OR01
218156OR05
REGENCE - OUTPATIENT024030000OR01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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