| NPI | 1902969116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ROBBINS POTTER Care COO Rdinator 541-480-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |