| NPI | 1891034880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EARL STETSON President 541-771-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 2106) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-05-29 |