| NPI | 1427680057 |
|---|---|
| Doing Business As | MEDFORD TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | DANA JORGENSEN Authorized Official 541-322-1794 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2021-09-16 |