| NPI | 1295369841 |
|---|---|
| Other Name | LESLIE SCOTT |
| Entity Type | Organization |
| Authorized Contact | LESLIE NEAL SCOTT Owner 541-429-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-10-13 |