| NPI | 1235819970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NICHOLE TEETERS CEO 541-525-3139 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-03-12 |