| NPI | 1356108286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY SHAMBLIN Licensed Clinical Social Worker 541-973-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |