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Organization
ADOLESCENT DAY TREATMENT CENTER INC OF DOUGLAS COUNTY
Active
Organization
ADOLESCENT DAY TREATMENT CENTER INC OF DOUGLAS COUNTY
Active
Other names
Riverside Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNA M MEYER (INTERIM DIRECTOR)
(541) 679-6129
Entity
Organization
Contact information
Practice address
671 S.W. MAIN, WINSTON, OR 97496
(541) 679-6129
Mailing address
PO BOX 2259, WINSTON, OR 97496-2259
(541) 679-6129
(541) 679-5285
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CERTIFCATE OF APPROV
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
CERTIFICATE APPROVAL
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297927
—
OR
05
—
297928
—
OR
Enumeration date
10/13/2006
Last updated
09/11/2025
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