| NPI | 1275734485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WOLF Cats 541-758-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |