| NPI | 1164256889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SOULIER Executive Director 541-228-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |