NPI | 1679957708 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA LEE Single Member LLC 541-679-0366 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OR 200550033NP) |
Enumeration Date | 2015-07-18 |
Last Update Date | 2015-11-13 |