| NPI | 1457044273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN WILLIAMS Owner 541-992-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-07-28 |