| NPI | 1225336829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GIPPLE Partner/Therapist 541-729-5971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2420) |
| Enumeration Date | 2011-03-05 |
| Last Update Date | 2011-03-05 |