| NPI | 1609502350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARRIS Managing Member 541-617-4544 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |