| NPI | 1114204146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JOHNSON Director 541-322-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 8733205) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |