| NPI | 1487809091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK TRELEVAN Executive Director 541-504-9577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |