| NPI | 1851596001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL CLIFFORD DARST Director 541-954-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 99-11-61) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2015-09-29 |