Organization
ADAPT
Active
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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