| NPI | 1295450898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER OCKER CEO 541-735-9421 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 207QA0401X Family Medicine Addiction Medicine |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2022-10-05 |