| NPI | 1588182984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY WILLIAM GRIDLEY Lmft Therapist. 541-527-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR T-1233) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |