Organization
ADAPT
Active
Parent organization
ADAPT
Other names
Deer Creek Adolescent Treatment Center
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
2064 SE DOUGLAS AVE, ROSEBURG, OR 97470-3713
(541) 673-5119
(541) 957-3734
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(541) 673-5642
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218156
—
OR
Enumeration date
12/14/2007
Last updated
08/24/2020
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