DANIEL DIRK

GRANTS PASS, OR
NPI1063996072
Entity TypeOrganization
Authorized ContactDANIEL DIRK
Sole Proptertor
541-450-0493
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-17
Last Update Date2018-09-17
Business Address
DANIEL DIRK
777 NE 7TH ST STE 107
GRANTS PASS, OR 97526-1632
Phone number: 541-450-0493
Mailing Address
DANIEL DIRK
320 SW L ST
GRANTS PASS, OR 97526-2928
Phone number: 541-450-0493