| NPI | 1285898981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GORDON Owner/Psychologist 541-338-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1348) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |