Organization
GRANTS PASS TREATMENT CENTER
Active
Other names
ORTC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT OWEN (OWNER)
(541) 617-4544
Entity
Organization
Contact information
Practice address
155 NE REVERE AVE, STE 150, BEND, OR 97701-4147
(936) 524-2837
Mailing address
1885 NE 7TH ST, GRANTS PASS, OR 97526-3403
(936) 524-2837
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
09/16/2021
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