| NPI | 1538401906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA ABE VANDERBUSH Residential Counselor 541-335-9125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2013-03-22 |