| NPI | 1487673513 |
|---|---|
| Other Name | COLUMBIA RIVER RANCH |
| 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 (Licence: OR 917) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: OR 917) |
| 385H00000X Respite Care (Licence: OR 917) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-05-13 |