| NPI | 1568663078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDEN AGEE Cats 1 541-905-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-12-04 |