| NPI | 1568558955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A CORDENIZ Executive Director 541-889-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 700087) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2021-02-23 |