| NPI | 1780327445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESSI D PEREZ Credentialing 541-244-4109 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |