| NPI | 1922976430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORTNEY FRITTS Behavioral Health Program Manager 541-589-0084 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |