| NPI | 1023862711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MATTHEW MCCULLY Co Founder 541-419-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |