| NPI | 1316051980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOLFGANG L AGOTTA Primary/Assessment Therapist 541-826-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: MI 4305) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |