| NPI | 1801762307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY M CLARK Provider/Owner 541-646-8609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2025-10-13 |
| Last Update Date | 2025-10-13 |