| NPI | 1861195083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRINA A. FALKENSTEIN Co Owner, Co Director 541-520-0665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-06-05 |