# CHILDRENS FARM HOME

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

## Provider details

- **NPI number:** 1942401781
- **Authorized official:** MR. MARC SMITH (LEAD TEAM TREATMENT LEADER)
- **Authorized official phone:** (541) 758-5909

## Contact information

- **Practice address:** 4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
- **Practice address phone:** (541) 758-5900
- **Mailing address:** 4545 SW PHILOMATH BLVD, CORVALLIS, OR 97333-1060
- **Mailing address phone:** (336) 430-1510

## Taxonomy

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

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 08/22/2020