| NPI | 1740780238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE MARKLEY Owner/Opperator 541-513-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0012056) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000697) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |