| NPI | 1205597432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS KOVASH Clinical Director 541-843-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-03-05 |