| NPI | 1396106092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA D MYERS Sole Owner/Member 541-514-0393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4887) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-10 |