| NPI | 1295054609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS RYAN SULLIVAN Mental Health Counselor 541-913-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |