| NPI | 1447845763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MICHAEL MCPHEE Provider 541-261-1991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-04-06 |