| NPI | 1437236445 |
|---|---|
| Former Legal Business Name | FAMILY FRIENDS |
| Entity Type | Organization |
| Authorized Contact | DOROTHY PROVENCIO Chief Operating Officer 541-776-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR 209981) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2016-11-15 |