| NPI | 1205045770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIALEE WOMACK Social Worker 541-768-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: OR L3743) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-05-04 |