| NPI | 1043861222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLOTTE ROHRBACKER Owner 541-281-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |