| NPI | 1063687697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS WESLEY AYALA Managing Partner 541-258-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1962) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2016-12-29 |