| NPI | 1275365702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS EGELSTON Owner 541-944-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |