| NPI | 1215078233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETA M STIERS Office Manager 541-488-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR none) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2020-08-22 |