| NPI | 1992518211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L PHILLIPS Director Of Billing 541-492-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |