| NPI | 1477021970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SU-CHIN WARD Owner/ Counselor 541-668-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-11-02 |
| Last Update Date | 2018-11-02 |