| NPI | 1972597763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN KAPLAN Director 541-247-4082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 112996) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2010-09-23 |