| NPI | 1427395847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ANNE WITT President 541-490-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L2419) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 03-03-46) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2019-05-25 |