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Organization
FAMILY RECOVERY, INC.
Active
Organization
FAMILY RECOVERY, INC.
Active
Other names
Milestones Family Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S. HANSON MS, CADC II (OUTPATIENT PROGRAM MANAGER)
(541) 757-7534
Entity
Organization
Contact information
Practice address
442 NW 4TH ST, CORVALLIS, OR 97330-6491
(541) 738-6832
(541) 738-6410
Mailing address
442 NW 4TH ST, CORVALLIS, OR 97330-6491
(541) 738-6832
(541) 738-6410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A-159
OR
324500000X
Substance Abuse Rehabilitation Facility
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Other
Enumeration date
02/07/2007
Last updated
03/23/2021
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