| NPI | 1730598038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY MOLLEL Health Center Director 541-766-6835 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2025-05-01 |