NPI | 1114067410 |
---|---|
Doing Business As | MILESTONES FAMILY RECOVERY |
Entity Type | Organization |
Authorized Contact | MICHAEL S. HANSON Outpatient Program Manager 541-757-7534 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR A-159) |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2007-02-07 |
Last Update Date | 2021-03-23 |