| NPI | 1780741132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA OVERSTREET Licensed Professional Counselor 541-245-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OR C1733) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |