| NPI | 1649711409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LAURIE President 541-604-0262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7131) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |