| NPI | 1114450293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SCOTT Licensed Psychologist 541-543-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 1571) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |