Eastern Oregon Academy, Inc.

NPI #1184053175 in Hines, Oregon

Provider Information

NPI Number: 1184053175
Entity Type: Organization
Organization Name: Eastern Oregon Academy, Inc.
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Nov 11, 2013
Last Updated: Nov 11, 2013

Practice Location

Address: 705 HIGHWAY 20 S
City: Hines
State: Oregon
ZIP Code: 97738-2522
Phone: (541) 573-7303

Authorized Official

Name: MR. CRAIG J. LAFOLLETTE
Title: PRESIDENT
Phone: (541) 573-7303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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