| NPI | 1972246502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LENEE BLUHM Owner, Provider 541-227-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-06-18 |