Adolescent Day Treatment Center INC of Douglas County

NPI #1629168166 in Winston, Oregon

Provider Information

NPI Number: 1629168166
Entity Type: Organization
Organization Name: Adolescent Day Treatment Center INC of Douglas County
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 13, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 671 S.W. MAIN
City: Winston
State: Oregon
ZIP Code: 97496
Phone: (541) 679-6129

Authorized Official

Name: MS. BONNA M MEYER
Title: INTERIM DIRECTOR
Phone: (541) 679-6129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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