| NPI | 1992248009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE DAVID SEWITSKY Finance Manager 541-858-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-01-05 |