NPI | 1790166817 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINE LEDFORD Owner 541-690-8710 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR T1043) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-06-15 |