| NPI | 1366907693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLENE HOWIE Director 541-525-0673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |