| NPI | 1154455350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA WOOD Authorized Designee 541-962-8812 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: OR CH-0000029) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-09-17 |