| NPI | 1215239405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA SUE MCGOWEN Family Therapist 541-883-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 101YM0800X) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |