| NPI | 1528249620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E DEBLOIS Owner 541-265-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OR 8212) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |