| NPI | 1083205298 |
|---|---|
| Doing Business As | DYNAMIC SELF RECOVERY |
| Entity Type | Organization |
| Authorized Contact | CAROL ANN MCCOLLUM Supervisor 541-621-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2024-01-05 |