| NPI | 1932492212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DREW SILVERMAN Supervisor 541-286-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2023-09-29 |