NPI | 1427397074 |
---|---|
Doing Business As | WILLAMETTE VALLEY TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | BRIAN PHILLIP FARLEY VP & Secretary 615-861-6000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: OR LOA) |
Enumeration Date | 2013-02-01 |
Last Update Date | 2024-10-24 |