| NPI | 1215138425 |
|---|---|
| Doing Business As | CHILDREN'S FARM HOME |
| Entity Type | Organization |
| Authorized Contact | KELLI LLOYD Billing & Revenue Assurance Manager 503-205-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |