# EASTERN OREGON ACADEMY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184053175
- **Authorized official:** MR. CRAIG J. LAFOLLETTE (PRESIDENT)
- **Authorized official phone:** (541) 573-7303

## Contact information

- **Practice address:** 705 HIGHWAY 20 S, HINES, OR 97738-2522
- **Practice address phone:** (541) 573-7303
- **Practice address fax:** (541) 573-5938
- **Mailing address:** PO BOX 138, BURNS, OR 97720-0138
- **Mailing address phone:** (541) 573-7303
- **Mailing address fax:** (541) 573-5938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 0176 | OR | Yes |

## Other

- **Enumeration date:** 11/11/2013
- **Last updated:** 11/11/2013