NPI: 1255964730 · SALEM, OR 97305 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 02/12/2020
| Authorized Official | FENNIMORE, BENJAMIN (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 02/12/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 44 | $6K |
| 2022 | 66 | $9K |
| 2023 | 214 | $35K |
| 2024 | 424 | $77K |