| NPI | 1932758224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE LEE FISHELL ROWAN AO/Psychologist 541-337-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-12-09 |