| NPI | 1649645151 |
|---|---|
| Other Name | JUVENILE DIVISION CBT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | DONALD SCOTT MICKEY Supervisor 541-774-4812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |