| NPI | 1255406237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NOLE MUSGROVE President Director 541-963-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |