| NPI | 1417183906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A CORDENIZ CEO 541-889-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2015-12-10 |