| NPI | 1811484603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH BROWN Practice Manager 541-323-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR MD28568) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-04-27 |