| NPI | 1992873004 |
|---|---|
| Other Name | CHILDREN'S FARM HOME |
| Entity Type | Organization |
| Authorized Contact | SUZY VENZKE Billing Manager 503-205-4362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-03-24 |