NPI | 1871003681 |
---|---|
Entity Type | Organization |
Authorized Contact | DAWN LYNNETTE JONES Medical Billing Specialist/Cpc 541-883-7798 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR C3681) |
Enumeration Date | 2017-10-06 |
Last Update Date | 2023-09-07 |