| NPI | 1558635672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE DENISE RILEY Recovery Specialist/Registered Nurs 541-318-1377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: OR 200942082RN) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |