| NPI | 1104934892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CARLIN Chief Financial Officer 541-284-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-04-05 |