| NPI | 1346024387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR Y CHANG Co Owner/Clinician 541-621-4245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2024-09-04 |