| NPI | 1033916721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNNE JOHANNSEN Owner/Psychologist 541-200-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-03-07 |