| NPI | 1154794832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BANDOROFF President 541-951-4329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1120) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |