| NPI | 1043822539 |
|---|---|
| Former Legal Business Name | LILAC CENTER OF OREGON, LLC |
| Entity Type | Organization |
| Authorized Contact | VICTORIA FAYE YOUNG Owner 541-222-0185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |