| NPI | 1881811842 |
|---|---|
| Doing Business As | CHILDREN & ADOLESCENTS |
| Entity Type | Organization |
| Authorized Contact | VICKI S WAGNER CEO 541-282-2208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |