| NPI | 1174044366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOHNSON MILLER President 541-480-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |