| NPI | 1750057667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE CESSNA Clinical Psychologist 541-788-1343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2021-08-19 |