| NPI | 1902007115 |
|---|---|
| Other Name | CHILDREN'S FARM HOME |
| Entity Type | Organization |
| Authorized Contact | AMANDA LYNN PARKER Health Services Director 541-758-5973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 200240006RN) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |