| NPI | 1962162925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA ANDERSON Credentialing Specialist 541-322-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2021-12-17 |