Provider Demographics
NPI:1558892984
Name:CJL ENTERPRISES INC
Entity Type:Organization
Organization Name:CJL ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFOLLETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-573-7303
Mailing Address - Street 1:PO BOX 138
Mailing Address - Street 2:
Mailing Address - City:BURNS
Mailing Address - State:OR
Mailing Address - Zip Code:97720-0138
Mailing Address - Country:US
Mailing Address - Phone:541-573-7303
Mailing Address - Fax:541-573-5938
Practice Address - Street 1:705 HIGHWAY 20 S
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:OR
Practice Address - Zip Code:97738-2522
Practice Address - Country:US
Practice Address - Phone:541-573-7303
Practice Address - Fax:541-573-5938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2017-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility