| NPI | 1760575500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN FOGELMAN Executive Director 541-482-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-04-04 |