| NPI | 1104341965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN ZUMBRUNNEN Therapist 541-357-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4423) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: OR L4423) |
| Enumeration Date | 2017-08-13 |
| Last Update Date | 2019-11-19 |