| NPI | 1972758373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY PETERS Program Manager 541-276-2246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2008-11-26 |