Coos County Correctional Treatment Center
NPI #1538320528 in North Bend, Oregon
Provider Information
- NPI Number
- 1538320528
- Entity Type
- Organization
- Organization Name
- Coos County Correctional Treatment Center
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 23, 2008
- Last Updated
- Jun 23, 2008
Practice Location
- Address
- 1975 MCPHERSON ST
- City
- North Bend
- State
- Oregon
- ZIP Code
- 97459-3482
- Phone
- (541) 756-2020
Authorized Official
- Name
- KELLY CHURCH
- Title
- BUSINESS MANAGER
- Phone
- (541) 396-3173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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