| NPI | 1740553064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN RUSSELL Clinical Supervisor 541-743-2611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |