| NPI | 1770024606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE ROSCKOWFF Executive Director 541-283-5919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2691) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2017-03-10 |