| NPI | 1568739944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JAY WOLFF Counselor/ Owner 541-490-7399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4472) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-R-15) |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2016-10-25 |