| NPI | 1013522663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T. BARNES Executive Director 541-281-2793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |