| NPI | 1811343643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LEVINRAD President 541-913-9603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4192) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR L4192) |
| 101YM0800X Counselor, Mental Health (Licence: OR L4192) | |
| 251S00000X Community/Behavioral Health (Licence: OR L4192) | |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2018-08-07 |