| NPI | 1982172896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HALLINAN Licensed Clinical Social Worker 541-581-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2020-04-09 |