| NPI | 1124863261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNDAURA LITHMAN Manager, Treasurer 541-973-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2024-06-29 |
| Last Update Date | 2024-06-29 |