| NPI | 1376858092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A GOLDSTEIN Executive Director 541-962-0162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |