| NPI | 1306385786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA LANDIN Clinical Executive/Cofounder 541-740-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR C4363) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |