| NPI | 1760967970 | 
|---|---|
| Doing Business As | CROSSWATERS FAMILY THERAPY | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA KARRIKER Licensed Prof Counselor 541-610-8391  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2018-10-03 | 
| Last Update Date | 2018-10-03 |