| NPI | 1336680784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ARTHUR HART President 541-738-2911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR MD19540) |
| Enumeration Date | 2017-03-18 |
| Last Update Date | 2017-03-18 |