| NPI | 1376546291 |
|---|---|
| Former Legal Business Name | WILLAMETTE FAMILY TREATMENT SERVICES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN LEWIS Billing Manager 541-914-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 251V00000X Voluntary or Charitable (Licence: OR 1739) | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2023-11-10 |