| NPI | 1285080960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN VORUZ Addictions Counselor 541-274-0758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OR CADCII 96-10-182) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |