NPI | 1932714581 |
---|---|
Doing Business As | RESTORATION HOME RTH |
Entity Type | Organization |
Authorized Contact | LARRY MICHAEL MCPHEE Provider 541-261-1991 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Enumeration Date | 2020-09-10 |
Last Update Date | 2022-04-04 |