| NPI | 1629898614 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA GRIFFIN President 541-654-0533 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-10-14 | 
| Last Update Date | 2024-10-14 |