| NPI | 1477332690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ALFREDO MARQUEZ ALONSO Counselor 541-697-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-10-02 |