Organization
RECOVERY ROAD INC
Active
Other names
Pacific Ridge Residential Alcohol and Drug Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DON LANGENBERG (EXECUTIVE DIRECTOR)
(503) 361-7758
Entity
Organization
Contact information
Practice address
1587 PACIFIC RIDGE LANE SE, JEFFERSON, OR 97352
(503) 361-7758
(503) 581-8292
Mailing address
1587 PACIFIC RIDGE LANE SE, JEFFERSON, OR 97352
(503) 361-7758
(503) 581-8292
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
OR
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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