| NPI | 1932295326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A CORDENIZ CEO 541-889-9167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343800000X Secured Medical Transport (VAN) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2017-03-16 |