| NPI | 1407017288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK CHAMBERLAIN Outpatient Program Director 541-726-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 9670273) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |