| NPI | 1578722369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA WISNER Executive Director 541-574-0841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR 1174640-8) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |