| NPI | 1578624193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SCOTT GARLOCK President 541-772-5992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 086006628N6) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |