| NPI | 1912540519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON PORTER Owner & Therapist 541-203-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2024-01-25 |