| NPI | 1023726346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA PILAR BRITO-SANCHEZ Administrator 541-905-0544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261Q00000X |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-11-07 |