Organization
ADVANCE TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMIRO ALBARRAN CADC I (DIRECTOR)
(503) 766-2582
Entity
Organization
Contact information
Practice address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 766-2582
(503) 465-0165
Mailing address
18210 E BURNSIDE ST, SUITE A, PORTLAND, OR 97233-5343
(503) 766-2582
(503) 465-0165
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
073
OR
251S00000X
Community/Behavioral Health Agency
073
OR
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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