| NPI | 1245757772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE NADINE MASTIN Quality Management Director 541-767-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OR 102491-83) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |