| NPI | 1508126368 |
|---|---|
| Doing Business As | JENNINGS LODGE |
| Entity Type | Organization |
| Authorized Contact | ROBERT BECKETT Executive Director 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |