Josephine County Community Corrections | |
510 Nw 4th St Grants Pass OR 97526-2078 | |
(541) 474-5191 | |
Not Available |
Full Name | Josephine County Community Corrections |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 510 Nw 4th St, Grants Pass, Oregon |
Authorized Official Name and Position | Denise Olson (TREATMENT SERVICES MANAGER) |
Authorized Official Contact | 5414745191 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Josephine County Community Corrections 510 Nw 4th St Grants Pass OR 97526-2078 Ph: (541) 474-5191 | Josephine County Community Corrections 510 Nw 4th St Grants Pass OR 97526-2078 Ph: (541) 474-5191 |
NPI Number | 1508272261 |
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Provider Enumeration Date | 07/02/2014 |
Last Update Date | 07/02/2014 |
Identifier | Type | State | Issuer |
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1508272261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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