| NPI | 1639370844 |
|---|---|
| Doing Business As | CHILDREN'S FARM HOME |
| Entity Type | Organization |
| Authorized Contact | AMY L DAVISON Office Manager 541-758-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2008-02-05 |