| NPI | 1568015048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J DOEHASS-IMEL Managing Member 541-921-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2022-12-06 |