| NPI | 1144979063 | 
|---|---|
| Doing Business As | RESTORING ESSENTIAL CONNECTIONS | 
| Entity Type | Organization | 
| Authorized Contact | LYNN WILTROUT Executive Administrator 541-622-2727  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2022-03-18 | 
| Last Update Date | 2023-10-20 |