| NPI | 1508272261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE OLSON Treatment Services Manager 541-474-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |