| NPI | 1013378835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J VIENE Member 541-342-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2024-08-27 |