| NPI | 1306108691 |
|---|---|
| Doing Business As | AUTUMN RIDGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT BECKETT President 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |