Organization
ADAPT
Active
Parent organization
ADAPT
Other names
The Crossroads
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADAPT
Authorized official
BRUCE PIPER (CEO)
(541) 672-2691
Entity
Organization
Contact information
Practice address
3099 NE DIAMOND LAKE BLVD, ROSEBURG, OR 97470-3655
(541) 673-3469
(541) 672-8072
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218156
—
OR
Enumeration date
12/14/2007
Last updated
12/14/2007
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