| NPI | 1427553692 | 
|---|---|
| Doing Business As | GOLD BEACH BUNGALOWS | 
| Entity Type | Organization | 
| Authorized Contact | MICHAEL SEWITSKY Finance Director 541-858-8170 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2018-03-28 | 
| Last Update Date | 2018-03-28 |