| NPI | 1528499696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM THOMPSON Program Director 541-545-6742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 0138) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2013-11-27 |