| NPI | 1881422905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA THOMASON Mft Associate 541-238-5438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |