| NPI | 1588352223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIKA LYNN SMITH Outpatient Mental Health Therapist 541-890-0960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |