| NPI | 1568663300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC NEWELL SMITH Lead Treatment Team Leader 541-758-7734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |