| NPI | 1356930424 |
|---|---|
| Former Legal Business Name | CENTRAL OREGON FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | JODI PETERSON Owner/Manager 541-233-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-01-13 |
| Last Update Date | 2023-03-02 |