| NPI | 1700440872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT BRUNO CEO 541-234-5041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2023-06-20 |