| NPI | 1205104718 |
|---|---|
| Former Legal Business Name | COW CREEK BAND OF UMPQUA TRIBE OF INDIANS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J RONDEAU CEO 541-672-9405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 10-09-68U) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |