| NPI | 1780815118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEE LUDWIG Program Director 541-923-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OR C1002) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR C1002) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR C1002) | |
| Enumeration Date | 2009-08-03 |
| Last Update Date | 2010-02-18 |