| NPI | 1952884876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH COLLINS KRUGEL Owner 541-391-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OR L4071) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2019-05-20 |