| NPI | 1760591507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE NEBOLON President 541-382-1395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO26262) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-12-14 |