Organization
VICTORIA MEADOWS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH COLE MCGOWAN (PROGRAM DIRECTOR)
(415) 590-0440
Entity
Organization
Contact information
Practice address
140908 ELK HAVEN WAY, CRESCENT LAKE, OR 97733-7069
(541) 433-2435
Mailing address
2660 NE HIGHWAY 20 STE 610-365, BEND, OR 97701-6402
(541) 433-2435
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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