NPI | 1861927089 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE RHEAULT Mental Health Therapist 541-499-1088 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR C1655) |
Enumeration Date | 2017-04-25 |
Last Update Date | 2017-04-25 |