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Organization

SOUTHERN OREGON ADOLESCENT STUDY & TREATMENT CENTER

Active
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Organization

SOUTHERN OREGON ADOLESCENT STUDY & TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNE ELIZABETH SHORB B.S. (TREATMENT FOSTER CARE COORDINATOR)
(541) 756-4508
Entity
Organization

Contact information

Practice address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
(541) 756-4550
Mailing address
1913 MEADE ST, NORTH BEND, OR 97459-3432
(541) 756-4508
(541) 756-4550

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
253J00000X
Foster Care Agency

Other

Enumeration date
11/14/2011
Last updated
11/14/2011
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