| NPI | 1215700950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L WATSON Owner 541-254-0630 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2023-11-03 |