| NPI | 1598582298 |
|---|---|
| Other Name | ROGUE SUBSTANCE ABUSE DISORDER |
| Entity Type | Organization |
| Authorized Contact | CALISA WARNKE CFO 541-842-7642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-10-16 |