| NPI | 1942596275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLIANNE KELLY Billing And Authorizations 541-573-8376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 251B00000X Case Management | |
| 253J00000X Foster Care Agency | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-11-16 |