Power House Detox

NPI #1982197182 in Otis, Oregon

Provider Information

NPI Number
1982197182
Entity Type
Organization
Organization Name
Power House Detox
Subpart
Yes (part of a larger organization)
Parent Organization
THE POWER HOUSE RESIDENTIAL DRUG TREATMENT CENTER INC
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Enumeration Date
Jun 12, 2018
Last Updated
Jun 16, 2018

Practice Location

Address
3955 SALMON RIVER HWY
City
Otis
State
Oregon
ZIP Code
97368-9778
Phone
(541) 720-4636

Authorized Official

Name
MELISSA KIM HOMAN, CADC II, CRM
Title
REGIONAL DIRECTOR
Phone
(541) 720-4636

Specialties & Taxonomy Codes

Specialty
Rehabilitation, Substance Use Disorder Unit

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