| NPI | 1952794448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY KERR Director 541-346-3227 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 1500) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |