| NPI | 1164229761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE FRYE Authorized Agent 541-281-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 282J00000X Religious Nonmedical Health Care Institution | |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |