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Organization
CRC HEALTH OREGON, LLC
Active
Organization
CRC HEALTH OREGON, LLC
Active
Parent organization
ACADIA HEALTHCARE COMPANY, INC.
Other names
Allied Health Services East
Organization subpart
Yes
Provider details
NPI number
Legal business name
ACADIA HEALTHCARE COMPANY, INC.
Authorized official
BRIAN PHILLIP FARLEY (VP & SECRETARY)
(615) 861-6000
Entity
Organization
Contact information
Practice address
6601 NE 78TH COURT, STE A3, PORTLAND, OR 97218
(503) 252-3949
(503) 252-4027
Mailing address
6183 PASEO DEL NORTE SUITE 200, CARLSBAD, CA 92011-1151
(855) 259-2288
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028382
—
OR
Enumeration date
01/16/2007
Last updated
10/24/2024
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