| Coos County Correctional Treatment Center | |
|
1975 Mcpherson St North Bend OR 97459-3482 | |
| (541) 756-2020 | |
| (541) 756-4401 |
| Full Name | Coos County Correctional Treatment Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1975 Mcpherson St, North Bend, Oregon |
| Authorized Official Name and Position | Kelly Church (BUSINESS MANAGER) |
| Authorized Official Contact | 5413963173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coos County Correctional Treatment Center Po Box 849 North Bend OR 97459-0070 Ph: (541) 756-2020 | Coos County Correctional Treatment Center 1975 Mcpherson St North Bend OR 97459-3482 Ph: (541) 756-2020 |
| NPI Number | 1538320528 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 06/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538320528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Primary |
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