| NPI | 1588726236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI JOLYNE SURPLUS Revenue Cycle Manager 541-516-4099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR NA) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2025-05-16 |