| NPI | 1376690107 |
|---|---|
| Former Legal Business Name | LANE SHELTERCARE |
| Entity Type | Organization |
| Authorized Contact | KAREN ETTER Controller 541-686-1262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2017-04-06 |