| NPI | 1023305471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY HARRIS Regional Administrator 541-318-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |