NPI 1295280451
Grants Pass Treatment Center
Practice location
- Address
- 155 NE Revere Ave STE 150, Bend, OR 97701-4147
- Phone
- (936) 524-2837
- Mailing address
- 1885 NE 7th St, Grants Pass, OR 97526-3403
Authorised official
- Name
- Matt Owen
- Title
- Owner
- Phone
- (541) 617-4544
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Methadone Clinic
Registry record
- NPI
- 1295280451
- Entity type
- Organization
- NPI issued
- 17 Aug 2016
- Record last updated
- 16 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.