| NPI | 1184800187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY JO GROSHONG Therapist 541-383-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L3785) |
| Enumeration Date | 2008-01-21 |
| Last Update Date | 2010-04-06 |