| NPI | 1093448078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA WATSON Owner 541-254-0630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-01-09 |