| NPI | 1629289822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY C CANNON Cats 541-758-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2007-05-27 |
| Last Update Date | 2020-08-22 |