Organization
RECOVERY ROAD INC
Active
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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