| NPI | 1457199986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTY KOKER Mental Health Therapist 541-286-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-07-18 |