NPI | 1710498001 |
---|---|
Doing Business As | SPRINGFIELD TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | MATTHEW OWEN Authorized Official 541-653-8284 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR RO0507650) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2022-07-29 |