| NPI | 1255014312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA HANSON THIELMAN CEO / Founder 541-270-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 101YM0800X Counselor, Mental Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |