| NPI | 1598942922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SLY Owner/President 541-270-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2786) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2009-08-30 |