| NPI | 1538180716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JACKSON Director Of Finance 541-686-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101Y00000X Counselor | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2016-09-30 |