| NPI | 1245844414 |
|---|---|
| Doing Business As | NOVUS MODO |
| Entity Type | Organization |
| Authorized Contact | LARA MICHELLE SCHWARTZ Owner 541-410-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |