| NPI | 1134623960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY JANELLE GATHERCOAL President Owner 541-772-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2674) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |