Organization
GRANTS PASS TREATMENT CENTER
Active
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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