Organization
ADOLESCENT DAY TREATMENT CENTER INC OF DOUGLAS COUNTY
Active
Other names
Riverside Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNA M MEYER (INTERIM DIRECTOR)
(541) 679-6129
Entity
Organization
Contact information
Practice address
671 S.W. MAIN, WINSTON, OR 97496
(541) 679-6129
Mailing address
PO BOX 2259, WINSTON, OR 97496-2259
(541) 679-6129
(541) 679-5285
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
CERTIFCATE OF APPROV
OR
261QM0855X
Adolescent and Children Mental Health Clinic/Center
CERTIFICATE APPROVAL
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297927
—
OR
05
—
297928
—
OR
Enumeration date
10/13/2006
Last updated
09/11/2025
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