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Organization
ADAPT
Active
Organization
ADAPT
Active
Parent organization
ADAPT
Other names
North Bend OTP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPT
Authorized official
DEBBIE L PHILLIPS (DIRECTOR OF CLIENT SERVICES)
(541) 492-4550
Entity
Organization
Contact information
Practice address
400 VIRGINIA AVE STE 100, NORTH BEND, OR 97459-3477
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218156
—
OR
Enumeration date
06/08/2018
Last updated
06/08/2018
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