| NPI | 1689053688 |
|---|---|
| Doing Business As | LANE COUNTY METHADONE TREATMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE PETERSON Credentialing Coordinator 541-682-7987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 200141240RN) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-03-27 |