| NPI | 1942975958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY LINDSAY Executive Director 541-676-9161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2022-03-02 |