| NPI | 1740582139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE TRACY Executive Director 541-258-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OR 17633280) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: OR 176332-80) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2011-03-01 |