| NPI | 1871315457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA HUBBARD Owner 541-622-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |