| NPI | 1467685750 |
|---|---|
| Doing Business As | JOHNSON CREEK |
| Entity Type | Organization |
| Authorized Contact | ROBERT C BECKETT Executive Director 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2010-08-20 |