| NPI | 1700652336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERESE EZELLE Owner/Mental Health Therapist 971-770-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |