| NPI | 1407121106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN WILLIAMS Executive Program Director 541-995-5188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |