| NPI | 1053608232 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LYNNE ELIZABETH HERBERT Oner 541-948-7015  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1800)  | 
| Enumeration Date | 2011-07-07 | 
| Last Update Date | 2022-09-13 |