| NPI | 1265771604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA KAY BYUS Director 541-504-7535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OR 1543364-8) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 175T00000X Peer Specialist | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2021-01-28 |