| NPI | 1205264751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCEE VIVIAN MILLER Program Director 541-350-8769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-10-19 |
| Last Update Date | 2013-10-19 |