| NPI | 1760145338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L PHILLIPS Director Of Billing 541-492-0134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2023-10-05 |