| NPI | 1275083818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY C BLUESTINE Owner/Therapist 541-410-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L5336) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |