| NPI | 1053368100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET L HAMADA Executive Director 541-436-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 37-050) | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-03-28 |