| NPI | 1942701271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA A SOAL Owner/Clinical Therapist 541-690-8003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4092) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |