| NPI | 1275380123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH J SORIC Director 541-204-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-04-30 |