| NPI | 1104542844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YVONNE FRIZZELL Director 541-910-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 175T00000X Peer Specialist | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-05-08 |