| NPI | 1972864759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI ANN SELANDER CEO 541-523-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OR 700015) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |