| NPI | 1477974293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID SEWITSKY Finance Manager 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 86761393) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |