| NPI | 1093998866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGGEN M BROGOITTI Office Manager 541-962-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OR MD18191) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2008-08-28 |