| NPI | 1720500614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BELLINSON Lcsw 541-973-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OR 6387) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR 6387) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-07-21 |