| NPI | 1356374706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MARIE BOONE President 541-312-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L3116) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |