| NPI | 1457895955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM EDWARDS COLLINS President 541-951-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4005) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |