| NPI | 1346084779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNAURA SKYE BROWN Mental Health Provider 541-326-7495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |