| NPI | 1538849377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANET NUNEZ Counselor 541-212-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |