| NPI | 1790058311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE MICHELE BROWN LLC Sole Member 541-771-1548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 2011) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2012-02-13 |