| NPI | 1346688108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY SMIETANA Cadc1, Program Supervisor 541-523-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |