| NPI | 1518394345 |
|---|---|
| Other Name | CCS GILLIAM |
| Entity Type | Organization |
| Authorized Contact | SHANNON BOOR Business Operations Manager 541-676-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |