| NPI | 1174078356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ORMEROD Administrative Director 541-779-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2017-04-25 |