| NPI | 1669757142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE LYNN SMITH Health Service Coordinator 541-926-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |