| NPI | 1518374198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY HARRINGTON Owner 541-610-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 06-11-25) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-22 |