| NPI | 1932878683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI SUE HALSEY Lead Billing Specialist 541-962-8800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-08 |