| NPI | 1194112243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANDA ANITA GRIGSBY Counselor, Partner 541-740-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-11-17 |