| NPI | 1477266435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEY CLARK Behavioral Health Clinician 541-896-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-01-04 |
| Last Update Date | 2023-01-04 |