| NPI | 1558366492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MCCAFFERTY Executive Director 541-476-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 261QP2300X Clinic/Center, Primary Care | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-12-16 |