| NPI | 1013234319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE FALCO Clinical Psychologist 541-480-4887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 781) |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |