| NPI | 1144596115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON A NORMAN Program Manager 541-737-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: OR 514136) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-03-23 |