| NPI | 1114125986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH RICHARD HENDERSON President 541-485-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: OR MDO7996) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2015-07-14 |