| NPI | 1649972241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LOVE CYPRESS Owner 541-848-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-06-27 |