| NPI | 1427423300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA MEUDT Owner/Manager 541-408-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X (Licence: OR 16-00012162) | |
| 251S00000X | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2019-09-25 |