| NPI | 1801318621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN MARTINEZ Coordinator Finance And Operations 541-346-3576 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2022-07-21 |