| NPI | 1164028825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BECK Marriage & Family Therapist 541-224-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |