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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:
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


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

Other Provider Identifiers:

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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