| NPI | 1497280697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDI OBRIST Mental Health Therapist 541-499-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C3111) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2025-01-28 |