| NPI | 1245779354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD CHARLES STREETER Executive Director 541-647-9609 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C3674) |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2018-03-17 |