| NPI | 1346341427 |
|---|---|
| Former Legal Business Name | SOUTHERN OREGON CHILD STUDY AND TREATMENT CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | DOROTHY J PROVENCIO Executive Director 541-414-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-11-29 |