| NPI | 1912214081 |
|---|---|
| Doing Business As | MOSSY MEADOWS |
| Entity Type | Organization |
| Authorized Contact | ROBERT C BECKETT Executive Director 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2010-09-09 |