| NPI | 1962808741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEAL BEAN Executive Director 541-687-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OR 101ym0800x) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |