| NPI | 1053098715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYESHA MOHAMED ALI Partner And Clinical Counselor 541-699-6370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-07-03 |