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 |