| NPI | 1043919327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAVANNAH DAVIS Co Owner/Clinician 541-837-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-12-22 |