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Organization
COOS COUNTY CORRECTIONAL TREATMENT CENTER
Active
Organization
COOS COUNTY CORRECTIONAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY CHURCH (BUSINESS MANAGER)
(541) 396-3173
Entity
Organization
Contact information
Practice address
1975 MCPHERSON ST, NORTH BEND, OR 97459-3482
(541) 756-2020
(541) 756-4401
Mailing address
PO BOX 849, NORTH BEND, OR 97459-0070
(541) 756-2020
(541) 756-4401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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