| NPI | 1114058898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA FOSTER Director 541-883-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-04-26 |