| NPI | 1194922104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SIEGNER Director 541-947-6021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2022-07-21 |