| NPI | 1326547134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE CHARLES GUNYON Owner 541-236-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7344) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |