| NPI | 1275864985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RENEE LISZKA Assistant Director 541-517-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1572) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2023-02-16 |