| NPI | 1619429396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA VIK Counselor 541-284-5689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OR 16-09-13) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2016-10-28 |