| NPI | 1669998266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS SAMMON Co Owner 541-306-1898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 4289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR 3873) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2022-07-21 |