| NPI | 1093952996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAY JETT Executive Director 541-426-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-11-03 |