| NPI | 1336677988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARISSA TONGUE Operations Manager 541-908-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L4228) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2024-09-06 |