| NPI | 1508303447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HEITMAN Owner 541-819-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R-3823) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R-3823) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-R-22) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |