| NPI | 1487144986 |
|---|---|
| Doing Business As | YAGA HEALING PLACE |
| Entity Type | Organization |
| Authorized Contact | OLGA LEONOVA Program Director 971-217-7754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2024-09-16 |