| NPI | 1811108780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNAE MICHELLE EDMONDS Treatment Team Leader 541-758-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |