| NPI | 1578149928 |
|---|---|
| Doing Business As | LEFT COAST WELLNESS |
| Entity Type | Organization |
| Authorized Contact | RACHEL CAZAVILAN Owner/Therapist 541-632-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 133N00000X Nutritionist | |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-08-03 |