| NPI | 1609527324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWNYA FREUDENTHALER Owner/Counselor 541-450-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2022-03-24 |