| NPI | 1851870224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY LOUISE WAGNER Owner 541-579-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L7525) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |