| NPI | 1376990606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WILLIAMS Owner/Clinical Director 541-270-6849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR C4091) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |