| NPI | 1013717099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WIGNALL SCHULTZ CEO 541-625-0028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-03-18 |