| NPI | 1326240037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE R EIDSON Director Of Business 541-779-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-05-09 |