NPI | 1073006011 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE ANN LEAS Clinical Director 541-639-7221 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1395) |
Enumeration Date | 2018-06-13 |
Last Update Date | 2018-06-13 |