| NPI | 1265109581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUNN Executive Director 541-310-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |