| NPI | 1962103176 |
|---|---|
| Doing Business As | LIFE'S INTENTION BACK TO BASICS INC. |
| Entity Type | Organization |
| Authorized Contact | AMY MADRIGAL-BATES Owner 541-969-1941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |