| NPI | 1245432509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE R EIDSON Director Of Business 541-779-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-05-09 |