| NPI | 1720329329 |
|---|---|
| Doing Business As | MILL STREET PSYCHIATRIC |
| Entity Type | Organization |
| Authorized Contact | ROBERT HARRY LUCK Owner 541-492-1340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |