| NPI | 1306298757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI E HANLON Therapist 541-306-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C1852) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |