| NPI | 1457561524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA TAYLOR COPELAND Lead Ttl Powers 541-750-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |