| NPI | 1013748748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BEARDEN Partner 541-499-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-16 |