| NPI | 1174291215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BREIHOLZ Clinical Psychologist 541-890-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-24 |