| NPI | 1154619963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROSE ASHTON-WILLIAMS A&D Counselor, Clinical Social Work 541-429-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 062120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-09-56) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2016-04-22 |