| NPI | 1114357308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY WARREN Program Manager Academy 541-389-1409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2016-10-13 |