| NPI | 1851931695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL LEAH CARTRETTE-MOORE Executive Director 541-408-8023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2020-01-09 |