| NPI | 1073209102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIREE DIXON Licensed Clinical Social Worker 541-590-2498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-11-06 |