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ADAPT NPI 1730362534


NPI Information

NPI: 1730362534
Provider Name: ADAPT

Other Name: DEER CREEK ADOLESCENT TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
2064 SE DOUGLAS AVE
ROSEBURG, OR
ZIP 97470
Phone: (541) 673-5119
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ADAPT is a substance abuse treatment and children substance abuse rehabilitation facility in Roseburg, OR. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. ADAPT NPI is 1730362534. The provider is registered as an organization entity type.
The provider Other Name Is Deer Creek Adolescent Treatment Center.

The provider's business location address is:

2064 SE DOUGLAS AVE
ROSEBURG, OR
ZIP 97470-713
Phone: (541) 673-5119
Fax: (541) 957-3734

The provider's authorized official is Bruce Piper .
The authorized official title is Ceo and has the following contact phone number (541) 672-2691.

The enumeration date for this NPI number is 12/14/2007 and was last updated on 8/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1218156MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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