| NPI | 1497821680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARITA CHANTEL LIVELY Compliance Specialist 541-747-1235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2024-03-08 |