| NPI | 1316123326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LENNON SWEENEY Cats1 541-758-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2008-01-21 |