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Organization

ADAPT

Active
Parent organization
ADAPT
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADAPT
Authorized official
MR. BRUCE PIPER (CEO)
(541) 672-2691
Entity
Organization

Contact information

Practice address
400 VIRGINIA AVE, SUITE 201, NORTH BEND, OR 97459-3477
(541) 751-0357
(541) 751-9985
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
261Q00000X
Clinic/Center
261QM0850X
Adult Mental Health Clinic/Center

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218156
OR
Enumeration date
11/19/2007
Last updated
11/10/2022
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