| NPI | 1336889211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MICHAEL MCPHEE Provider/Owner 541-261-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2022-04-04 |