| NPI | 1326238809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ALYCE GOEMAN Child And Adolescent Treatment Spec 541-520-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OR 930386966) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |