| NPI | 1255835104 |
|---|---|
| Doing Business As | SWING LANE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEWITSKY Finance Manager 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |