| NPI | 1538150388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTI T RIOS Executive Director 541-342-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2023-10-12 |