| NPI | 1033770938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN ROGERS Owner/General Manager 541-817-5326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-22 |
| Last Update Date | 2020-08-28 |