| NPI | 1356727689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DAVID SEWITSKY Finance Manager 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2015-08-10 |