| NPI | 1023654019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIEGH VICTORIA RAMIREZ A&D Outpatient Counselor 541-270-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |