| NPI | 1154638617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBERT HOFFMAN Owner 541-639-6246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L6074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW 60113465) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2015-01-26 |