| NPI | 1922896943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE JOAN BROYLES Licensed Clinical Social Worker 541-395-9568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2025-04-29 |