| NPI | 1235124462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE MAE LIND Clinical Director 541-406-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2025-05-27 |