| NPI | 1891272324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRE CRESSALL Owner 541-232-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OR 201500826NP-PP) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |