| NPI | 1205338365 |
|---|---|
| Doing Business As | LEAD |
| Entity Type | Organization |
| Authorized Contact | TIA BARNES Chief Program Officer 541-255-6864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2018-03-05 |
| Last Update Date | 2020-09-02 |