| NPI | 1023322690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN GERMAIN FIEVET Executive Director 541-385-8657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |