| NPI | 1619408580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHIANNON THEURER Marriage And Family Therapist 541-207-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR T1196) |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |