Organization
ADVANCED DISABILITY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON BRATSOULEAS (OWNER/CEO)
(541) 929-7454
Entity
Organization
Contact information
Practice address
7020 SW COUNTRY CLUB DR, CORVALLIS, OR 97333-2615
(541) 929-7454
Mailing address
7020 SW COUNTRY CLUB DR, CORVALLIS, OR 97333-2615
(541) 929-7454
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
90025176060909D
OR
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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