| NPI | 1750373346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE PIPER CEO 541-672-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-05-08 |