| NPI | 1457184707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH LAURA MCFADDEN Owner 541-621-8238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2024-08-22 |