| NPI | 1609286095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D DELANEY Provider/Owner 541-382-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: HI 794) |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2022-01-29 |