| NPI | 1255812566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CHAMPION Owner 541-632-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2019-02-07 |