| NPI | 1124607429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNI SHARON REDDY Owner 971-227-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-14 |