| NPI | 1376096131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHLOMO SCHLOSS Clinician 541-321-6524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 13567) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-07-28 |