| NPI | 1578945515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH L. ANDERSON Owner/Manager 541-217-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C2373) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-07-11 |