| NPI | 1003406505 |
|---|---|
| Former Legal Business Name | CULTIVATING A NEW LIFE |
| Entity Type | Organization |
| Authorized Contact | FUMIYO NISHIMOTO Owner 541-904-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |