| NPI | 1902110968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE STACONA Secretary/Treasurer CEO 541-553-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 261QP0905X Clinic/Center Public Health, State or Local | |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2022-02-01 |