| NPI | 1336660331 |
|---|---|
| Other Name | JACKSON |
| Entity Type | Organization |
| Authorized Contact | KARLA MCCAFFERTY Executive Director 541-476-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2021-12-16 |