| NPI | 1285719195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE TARKINTON Operations Manager 541-757-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2014-03-18 |