| NPI | 1235440702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA CHRISTY SHIMEALL Center Supervisor 541-758-5969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |