| NPI | 1235212986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE MARNELL Director 541-440-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |