| NPI | 1477991388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES FORSYTH Program Director 541-523-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 101YA0400X) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |