Victoria Meadows LLC
NPI #1922822071 in Crescent Lake, Oregon
Provider Information
- NPI Number
- 1922822071
- Entity Type
- Organization
- Organization Name
- Victoria Meadows LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Nov 14, 2024
- Last Updated
- Nov 14, 2024
Practice Location
- Address
- 140908 ELK HAVEN WAY
- City
- Crescent Lake
- State
- Oregon
- ZIP Code
- 97733-7069
- Phone
- (541) 433-2435
Authorized Official
- Name
- JOSEPH COLE MCGOWAN
- Title
- PROGRAM DIRECTOR
- Phone
- (415) 590-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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