| NPI | 1902330236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE PHILLIPS Director Of Client Services 541-492-0134 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2019-12-02 |