| NPI | 1598448904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN FOSTER Treatment Services Manager 541-645-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2023-08-11 |