| NPI | 1568108504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN WILLIAMS THOMAS Clinical Social Worker 541-550-0977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-12 |