| NPI | 1760827182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALKER COOK VAVE Skills Trainer 541-758-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 101Y00000X) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |