Organization
CRC HEALTH OREGON
Active
Organization
CRC HEALTH OREGON
Active
Other names
Allied Health Services Treasure Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PHILIP HERSCHMAN (OTP DIVISION PRESIDENT)
(760) 918-8700
Entity
Organization
Contact information
Practice address
885 SW 30TH ST, ONTARIO, OR 97914-4626
(541) 823-0101
(841) 823-0909
Mailing address
6185 PASEO DEL NORTE, CARLSBAD, CA 92011-1152
(760) 918-8700
(760) 918-8711
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028384
—
OR
Enumeration date
01/16/2007
Last updated
08/22/2020
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