OrganizationActive
Advanced Disability Services, Inc
NPI 1083947972 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Corvallis, OR
Provider details
- NPI number
- 1083947972
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jason Bratsouleas, Owner/Ceo(541) 929-7454
- License
- 90025176060909D (OR)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 90025176060909D (OR)
Residential Treatment Facilities
Practice location
7020 Sw Country Club Dr
Corvallis, OR 97333-2615
Phone: (541) 929-7454
Approximate (ZIP-level) locationGet directions
Mailing address
7020 Sw Country Club Dr
Corvallis, OR 97333-2615
Registry dates
- Enumerated
- 2009-09-10
- Last updated
- 2009-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.