| NPI | 1962607549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA ANN WHITLOW Child And Adolescent Mental Health 541-908-2474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-07-21 |