| NPI | 1730740457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZILA REGINA PHILLIPS Mental Health Therapist 541-420-9458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2019-07-24 |