| NPI | 1356850697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DENISE GLENN Owner 541-337-6381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR R4844) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |