| NPI | 1932309226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY THERESE FORTIER President/Lcsw 541-464-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR L2416) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |