| NPI | 1245584572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MCCAFFERTY Executive Director 541-476-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 700047) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2021-12-16 |