| NPI | 1013378835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J VIENE Member 541-342-8208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 106H00000X Marriage & Family Therapist | |
| 1041C0700X Social Worker, Clinical | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2016-03-18 |